Insurance Aggravation! Why Do they Make Things So Difficult???"

My insurance lady emailed me back today. Seems the insurance company doesn't think my genioplasty is "medically necessary" This is what they said.

"Based on what has been provided, this is not considered to be medically necessary. If the provider can give us something more to substantiate how this will help treat sleep apnea, we can review again."

So I said:

"I guess I'm confused as to what he would need to provide. It states right in the medical neccessity letter that it is medically neccessary to move the hyoid bone forward which has been shown in the research, when done in conjunction with Upper and lower surgery to increase the airway.

This quote was taken right of of a website I found:

Genioplasty

An operation performed to reshape the chin. Genioplasties are often done to treat OSA because the procedure changes the structure of the patient's upper airway.

When MMA is done the surgery usually takes 3 main forms done together. It's referenced on this Mayo Clinic website.

What else would he need to include?"

This is what she said back to me:

"They are probably looking for proven statistical medical efficacies that would substantiate the claim. You provider should be able to easily provide this information."

So now on Monday I need to call my doctor and ask him if he can provide documented proof that sliding genioplasty is actually beneficial and does in fact help with correction of sleep apnea. EVEN though, I can find info about it all over the web. How messed up is that? Guess....the fight is on! :(