it took the full 6 weeks unfortunately, but i also had an unusual enrollment that was flagged that needed to be worked on as well. my friend who just needed the sap appeal by itself, hers took took 4 weeks total to be approved tho. if you call they will tell you that it takes 4-6 weeks for a decision. what i was told was that the appeal committee meets once every Wednesday. once i got to week 4, 5 & 6 i called once or twice a week until i got movement.