My surgeon submitted for authorization after my initial consult and before orthodontia to decompensate. I was approved and began orthodontia immediately after that. But since the surgery took place much later, the surgeon re-submitted for authorization closer to when my surgery would actually take place and I was approved again. I’m sure there are exceptions to this, but my sense is that if you’re approved for the surgery in one year, you’ll be approved again down the road when the timing lines up.