Sleep Apnea Severity

laura74
on 8/14/08 8:15 am
When the doctor submits the claim for approval to the insurance company and one of the co-morbidities is sleep apnea, do they just say you have it or do they need the back up information to support their findings? I have sleep apnea, but I'm worried it is not severe enough to get approved from insurance.
celticgirl
on 11/26/08 11:48 pm - winter springs, FL

I was wondering the same thing. I only have mild sleep apnea (average 11 episodes per hour). BUT, prior to me getting my bi-pap, the sleep apnea was causing my blood saturation to drop and causing heart palpitations during the night. I thought I was having a heart attack. For several years my doctor thought they were nocturnal panic attacks. I knew it was something else. I finally read about sleep apnea and it's affects. I asked my doctor, had the sleep tests, and I'm finally sleeping peacefully without fear for the first time in about 4 years. With all this, I'm told it wouldn't be considered a co-morbidity. My doctor doesn't think I'll have a problem getting approved, but the bariatric surgeon's office keeps telling me it isn't severe enough. So, I can only try and see what happens. I wish my doctor could put a "spin" on this and lean more towards the heart palpitation issues I was having prior to using the bi-pap. Let me know if you hear anything!
Happy Thanksgiving.

jan14
on 12/26/08 10:58 am - PA
It would probably depend on what insurance you have.

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