Question:
Does anyone in PA know if Access will pay for a sleep apnea test.

I have been told by my surgeon that Access will most likely NOT pay for a sleep apnea test and that I will have to pay out of pocket. Has anyone had any experience with this? And is there any way to get this test paid for so I don't have to postpone the process?    — Angela N. (posted on July 5, 2003)

July 5, 2003
If there is medical necessity, then the insurance should pay for it. Sleep apnea is dangerous, and I can't see an insurance company denying the test. Sounds like your doc is not very supportive.. If there are indications that you have sleep apnea (can't stay awake in the day, falling asleep at the wheel, waking up not feeling rested, complaints from significant other that you snore too much..too loud etc )...then you should have the test.. and by the way, most docs are not that insurance savvy anyway.
   — chris S.

July 7, 2003
Angela: You need to check with the insurance company. There should be a customer service number you can call on the back of your Access card. My son had Access-UPMC Enhanced HMO, and it covered everything he had to have done prior to surgery, and everything connected with surgery. It has been great insurance for him. Good luck.
   — Carlita

July 11, 2003
Angela...I am getting ready to send in the papers from my surgeon for the authorization to see if they will pay for it...will let you now how it goes...still waitingfor the Dr. to get them sent to me to sign them and send them in...lady at the hospital said it usually takes about 3 weeks to get an answer back... U can e-mail me at [email protected]
   — giggles83