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Insurance changes -- No longer covering UARS
The last time I called to get CPAP supplies (new nasal pillows, etc), I was told my insurance (an Aetna-run plan) no longer covers my CPAP because I am diagnosed with UARS and my AHI is too low for it to be covered as having sleep apnea. I didn't have any trouble with this last year, so I'm wondering what's changed and what I can do about it. Thankfully, I have a new CPAP, so I should be alright for a while, but this really took me by surprise.
Views: 211
Replies to This Discussion
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Permalink Reply by RockRpsgt on
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Well that is a tough one. How educated is your PCP on sleep. Maybe he can talk to the insurance company for you.
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Permalink Reply by liz4cps on
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@Rock,
Perhaps I will see what he can do the next time I go in to see him. The supplies I get are not too expensive but I was so surprised t this.
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Permalink Reply by Judy on
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With Aetna and denied coverage its not really so surprising. They do have a history. Much like UNUM and disability insurance claims.
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Permalink Reply by sleepycarol on
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You can pick up parts off from cpapauction (need a script) and eBay. I recently purchased some filters from eBay. I got twelve for around a buck a piece.
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Talking to the insurance company is part of the service that you pay for through your doctor's office. They should be able to help.
Judy said:With Aetna and denied coverage its not really so surprising. They do have a history. Much like UNUM and disability insurance claims.
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Permalink Reply by Mary Z on
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I hope a talk with your insurance company will straighten things out. It's ridiculous to refuse payment when you AHI is low since that is the whole point of treatment.
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