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Condition Trialed Decline Needs in EAPP
Angioplasty/Stent Angioplasty/Stent done — —
Coronary Bypass History of Stroke/TIA, Bypass done, Multiple Bypass Surgeries Diagnosed under age 40, Bypass within the last 6 mo., Multiple Coronary Artery Bypass Grafts and Stroke/IDDM/Peripheral Vascular Disease/Multiple Heart Surgeries, Extensive damage to the Left Ventricle Heart/Circulatory Questionnaire, Will pull Medical Records
Heart Attack Heart Attack within 2 years, Heart Attack History and Smokes, Currently Disabled due to Heart Attack, History of 2 or more Heart Attacks, Currently taking Blood Thinners Diagnosed under age 40, Heart Attack within 6 mo, 2 Heart Attacks and Smokes, More than 2 Heart Attacks Heart/Circulatory Questionnaire, Will pull Medical Records
Angina/Chest Pain Angioplasty/Stent done, Coronary Bypass done, History of Stroke/TIA Diagnosed under age 40, Diagnosed within the last 6 mo, Angina and Stroke/IDDM/Peripheral Vascular Disease Chest Pain Questionnaire, Will pull Medical Records
Congestive Heart Failure Auto-Trial Diagnosed within 1 year —
Heart Valve Replacement Surgery within 2 years, Currently Disabled Surgery within 1 year, Diagnosed Under 19 years old Heart/Circulatory Questionnaire, Will pull Medical Records
Defibrillator Implant Auto-Decline Auto-Decline Auto-Decline
High Blood Pressure/Hypertension 3 or More High Blood Pressure Medications, Diagnosed within 1 year, HBP Not under control (Reading 160/100 or higher), Overweight T5 and up, Hospitalized/ER Visit for HBP within 1 year, Has not seen a doctor within 1 year Hospitalized for HBP within 1 year High Blood Pressure Questionnaire
Peripheral Vascular Disease/Arteriosclerosis Previous Hospitalization due to PVD Surgery has ever been required, Peripheral Vascular Disease and Coronary Artery Disease/Stroke/TIA Heart/Circulatory Questionnaire, Will pull Medical Records
Stroke/Cerebrovascular Disease Stroke within 2 years, Currently taking Blood Thinners, History of 2 or more Strokes, Stroke History and Smokes Stroke within 6 mo, Multiple Strokes, History of Stroke and Heart Attack/Coronary Bypass/Angina Will pull Medical Records
Sickle Cell Anemia Applicant has ever received a Blood/Bone Marrow Transplant Diagnosed under age 22 —
Blood Clots/Phlebitis/Thrombophlebitis Multiple blood clots Hospitalized for clotting within the last 6 mo Will pull Medical Records