When your medical insurer's decision over rides your physicians Rx

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Feb 12, 2018
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Medicare decides what constitutes Sleep Apnea and rejects treatment recommended by one's doctor.
Appeals are said to be routinely rejected. What does one do?
 
Feb 12, 2018
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Thanks, Christina: I saw that article and wrote to the author who just replied saying:
Medicare is not stating that the patient cannot be treated for the condition, they are simply stating that they will not pay for the treatment. They are following one of the two official scoring criteria from the American Academy of sleep medicine..
 
Sep 19, 2015
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It is a difficult situation and with I understand the frustrations of dealing with the issues as I have had it with relatives -- one dr's office could not even fill out the form properly for a wheelchair. Rather than deal with the wait we just bought one but that cost is minimal compared to a cpap machine
 
Likes: VoR61