Posts Tagged “Coverage”

Question by insomina: Sleep Test and Medical Coverage?
A few months ago a doctor gave me a referral for a sleep test. However, at the time I was on temporary coverage since I was removed from my father’s work plan from having graduated from college. After getting the sleep test cost estimate of over $ 3,000 my temporary wouldn’t cover, the referral has been sitting there.

Now, I finally will be getting full coverage soon with Cigna that comes with my new job. My question is, will Cigna cover the in lab polysomnography for diagnoses of sleep apnea, even though the referral was given prior to the start of their coverage?

I have found a recent policy that Cigna does cover such procedures, but I need to know if having pre-admittance referral will effect getting covered. Let me know thanks!

Best answer:

Answer by knicname
Depends on the state in which you live. Some require coverage for pre-existing conditions.
You need to call Cigna & just ask a general question using the policy you have as an “example” & ask about pre-existing conditions.
If not, speak to your MD & ask if he considers this a pre-existing condition…if not let him write you a new prescription for the sleep lab.

Good luck

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Question by dancequeen204: My daughter has sleep apnea. We do not have any medical coverage. Are there any free studies in NJ?
We live in Morris County. We know the cost is prohibitive. We have been quoted prices of 3K.

Best answer:

Answer by Grand pa
Some dealers who sell cpap machines will let you use an oximeter If your on low income go to social services my Lions Club paid for the cpap machine check that out

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When I sent in my application for my health insurance, I forgot to note that I have obstructive sleep apnea. Stupid mistake, but I hadn’t had insurance since I was 20 years old and paid of my OSA treatments out of pocket nearly two years ago. I had an expensive hospital bill in September for a completely unrelated illness. When my insurer pulled my medical history, they saw the OSA and sent a letter with reimbursement for premiums and said that my coverage was null and void. I feel that they should cover the bill since the illness was unrelated.

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