Posted by often_awake on January 08, 2011 at 22:37:33:

In Reply to: Insurance wont cover MMA yet posted by rtwithosa on January 07, 2011 at 11:21:04:

I'm really sorry to hear about your situation, rtwithosa. I had an
MMA planned for November, but my insurance denied it because
the felt my AHI wasn't high enough. I was fortunate in that Dr
KL was able to guide me through the process (another sleep
study; AHI doubled from about 16 to about 32; resubmit;
preapproved).

It may be possible for your surgeon to appeal Blue Cross
Anthem's decision. It seems that you have a reasonable
argument against the other surgeries; if you can convince the
powers that be that a UPPP would most likely not help (and
possibly hurt) and tongue reduction surgery is generally not
thought to be very effective, you might have a chance.

Good luck!

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PLEASE ONLY CLICK THE SUBMIT FOLLOW UP BUTTON ONCE!!. Thanks, Sandman

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