#1. Get that lab report. If they get all squicked about giving you that holy document then walk out on them.
They are a bunch of crooks and you need to find another Dr.
#2. Looks like the insurance company is the problem here. They don't want to pay up.
#3. From the sound of it, methinks you are likely to be having apnea problems but I'm not your Dr. so you might get the sleep study
anyway if you and your PCP kick up enough fuss.
If that doesn't work then you can go to plan 'B'
Start buying a few things you need to be able to demonstrate that you *DO* have sleep issues.
Hopefully you wont need to go to plan 'B'
Cheers & Good Luck!
"With ordinary talent and extraordinary perseverance, all things are attainable." - Thomas Foxwell Buxton
Do the lab test. And get a cardiac follow up just to safe. Age is no factor when heart problems arise, believe me. If apnoea can strike at a young age, so can heart problems, so heck it all out - if nothing else comes form it, you have a base line to refer to should later problems crop up.
Just thought I would follow up on this. I had my lab sleep study last night -- amazingly (perhaps unfortunately?) I feel like I slept better at the lab than I do at home. My insurance requires split-night studies, and they set me up with a mask at the start of the night, but they never came in to actually put me on the CPAP. I'm not sure if this means that I don't have sleep apnea, didn't meet their threshold, something like that? The lab techs of course wouldn't really tell me anything, but after forgetting my pillow and going back in with a different tech (not the one that observed me), this other tech told me that they were looking at my results and that my breathing patterns appeared similar to my home study. Given that my home study seemed rather inconclusive/leaning toward not having sleep apnea, I'm not sure if this is a good result. It appears my insurance will not cover the CPAP unless AHI is above 15, or AHI of 5-15 with significant daytime impairments.
I guess now is the waiting game -- I am supposed to hear back within 10 business days.