Search found 114 matches

by PierreDeFermat
Sun Jan 14, 2018 4:12 pm
Forum: Oral (Orthognathic) Surgery
Topic: Requisite CPAP Trial (Fep Blue)
Replies: 25
Views: 1470

Re: Requisite CPAP Trial (Fep Blue)

Another correction (since I cannot yet edit posts): Per the FepBlue policy manual, MMA can be considered if one fails/cannot tolerate CPAP treatment OR an oral appliance, not necessarily both. (Though an oral appliance is recommended if the patient cannot tolerate CPAP). Just thought I should mentio...
by PierreDeFermat
Sat Jan 13, 2018 3:23 pm
Forum: Oral (Orthognathic) Surgery
Topic: Surgery in January?
Replies: 3
Views: 381

Re: Surgery in January?

I can't speak to the experience of orthognathic surgery, but I had a septoplasty twice to correct trauma to my noise and it went as follows: You change into a gown, go over some paperwork, they start a small IV (might be a little cold), and once the OR is ready they start wheeling you over there and...
by PierreDeFermat
Sat Jan 13, 2018 3:13 pm
Forum: Oral (Orthognathic) Surgery
Topic: Requisite CPAP Trial (Fep Blue)
Replies: 25
Views: 1470

Re: Requisite CPAP Trial (Fep Blue)

A correction:

"...less-invasive surgeries should be considered prior to the requested procedure," was the original language used in my denial (i.e. "less-invasive surgeries" are not a prerequisite to MMA surgery).
by PierreDeFermat
Sat Jan 13, 2018 2:18 pm
Forum: Oral (Orthognathic) Surgery
Topic: Requisite CPAP Trial (Fep Blue)
Replies: 25
Views: 1470

Re: Requisite CPAP Trial (Fep Blue)

I received the letter from my insurance as to the reason(s) of my denial, which were that I had not indicated why CPAP mask was intolerable, I have not tried an oral appliance, and have not tried a "less invasive surgery" (in the event that the both CPAP and a splint have failed). I find it rather i...
by PierreDeFermat
Thu Jan 11, 2018 11:50 pm
Forum: Oral (Orthognathic) Surgery
Topic: Requisite CPAP Trial (Fep Blue)
Replies: 25
Views: 1470

Re: Requisite CPAP Trial (Fep Blue)

Skipping the titration was in regard to the APAP machine.

I understand that if I need CPAP I'll have to get it calibrated during a titration study, which was already pre-approved by my insurance.

My initial sleep study included all the relevant apnea indexes, including central apneas.
by PierreDeFermat
Thu Jan 11, 2018 4:46 pm
Forum: Oral (Orthognathic) Surgery
Topic: Requisite CPAP Trial (Fep Blue)
Replies: 25
Views: 1470

Re: Requisite CPAP Trial (Fep Blue)

Thanks for the recommendations, I'll be sure to check them out. Today I called my insurance and they denied my pre-approval request a few days ago, though I haven't spoken to my doctor's office or received the letter yet to know why exactly why (I'm guessing it's because of the CPAP trial). When I t...
by PierreDeFermat
Wed Jan 10, 2018 7:22 pm
Forum: Oral (Orthognathic) Surgery
Topic: Requisite CPAP Trial (Fep Blue)
Replies: 25
Views: 1470

Re: Requisite CPAP Trial (Fep Blue)

I just booked a CPAP titration (I had it approved by my insurance after my initial sleep study) which happened to be on the very last day my insurance has to let me know the results of my pre-authorization claim for the MMA surgery. I have 24 hours before the titration to cancel, so hopefully I'll f...
by PierreDeFermat
Mon Jan 08, 2018 7:49 pm
Forum: Oral (Orthognathic) Surgery
Topic: Requisite CPAP Trial (Fep Blue)
Replies: 25
Views: 1470

Re: Requisite CPAP Trial (Fep Blue)

Thanks for the responses. I may have been a little unclear: I have not yet tried CPAP or an oral appliance and my surgeon still submitted the paperwork for pre-authorization last week (I should hear back from my insurance by the 16th). I'm assuming it will be denied and I'll have to at least try CPA...
by PierreDeFermat
Sat Jan 06, 2018 2:39 pm
Forum: Oral (Orthognathic) Surgery
Topic: Requisite CPAP Trial (Fep Blue)
Replies: 25
Views: 1470

Requisite CPAP Trial (Fep Blue)

I'm in my early twenties and have recently been diagnosed with severe sleep apnea (REI 37.7, OAI 21.6) and decided to see a well-renowned oral surgeon regarding MMA surgery as treatment. I have Federal Blue Cross Blue Shield (Fep Blue) insurance and my doctor recently submitted a pre-authorization f...