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Re: It took me 3 years to find OSA was my problem?

Posted by chele on January 15, 2002 at 18:03:44:

In Reply to: Re: It took me 3 years to find OSA was my problem? posted by NewinNYC on January 12, 2002 at 14:43:58:

Don't take no for an answer! Some of the insurance companies use "cut-off" levels for the AHI (apnea/hypopnea index), before they cover CPAP, but with levels that are based on outdated Medicare definitions of what constitutes Apnea. But if you can get a board-certified sleep doctor to contact the insurance company's doctors and say: "Based on my professional evaluation, this patient would very likely benefit from CPAP therapy (saving you, the insurance company, tons of $$$ on blood pressure medication, treatments for heart problems, and possibly trauma care and orthopedic surgery if he/she drives off the road from fatigue), so it would be wise to authorize a two-month trial on CPAP" - you might get it! And then, if the results are good in the doctor's evaluation, you have a leg to stand on to fight further. I did this when a sleep study claimed that I had "zero" AHI. It worked. The one-month trial was like a miracle. Also, a follow-up study showed I had AHI of 26, because the first test was incompetent.

Good luck!

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Archived Apnea Forum81 viewing only. To post a new topic go to the Apnea Forum Homepage

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