Medical Denial Catch-22. Can insurance deny treating the illness that resulted in the denial of treating your original illness?

I (29M) have excessive daytime sleepiness and a positive diagnoses of idiopathic hypersomnia. My sleep specialist prescribed me nuvigial but BCBS denied it at the initial appeal and the second appeal. First it was because of insufficient documentationand then it was because my bloodwork showed I have low testosterone. Needing a solution, I started getting the nuvigial through GoodRX but its done nothing for me. From the sleep specialist’s angle the last medication option for treatment is Xywav. Now insurance won’t even allow me to see the sleep specialist until they rule out the low testosterone as a potential cause of my excessive daytime sleepiness. After seeing the endocrine specialist, he prescribed me zepbound to increase my testosterone through weightloss. But, SURPRISE, BCBS denied that too – despite the low testosterone being the exact thing they wanted me to be treated for! To top it off, he also ordered an MRI to check my brain for growths and that's being held up in review too.

PLEASE HELP ME. This has been going on since January and I need to get it figured out before my deductible gets reset.

submitted by /u/Boonetrout
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