Interview on 7/24. Too late to mail I-693 medical exam?

[gaps0214]

I ended up paying the doctor an additional $200 for basically the same form signed by him and put in a signed, sealed envelope. We did an extensive blood test the first time and he referred to the same test results

I have heard of cases where applicants are surprised at the end of their interviews that their I-693 is outdated even though they did not receive any notice from USCIS asking for it. So I'm being extra careful by mailing it to them before my interview as well as bringing it with me to the interview.

Sorry to hear that your civil surgeon is a hustler for $$$.
My civil surgeon gladly printed a second copy of the medical results, signed it with original ink pen and gave it to me no charge on top of what I already paid for the sealed medical results.
But you are correct to be on the safer side and wishing you the best of luck in your interview.
Cheers.

[bgfork]

Thanks gaps0214, I wish I had your civil surgeon. My first civil surgeon was quite nice and charged <$100 if i recall correctly. His office was pretty no frills (almost seemed unclean) though.

I went to re-read the new policy on USCIS website and realized that I may have just wasted $400 + Fedex cost. The rule for I-693 submitted after Nov 1, 2018 said that if I-693 was signed within 60 days of the date of filing of 'underlying benefit application' (unclear what this means), it is valid for 2 years from the date the civil surgeon signed.

My original I-693 was signed in Aug 2018 but wasn't submitted until Jan 2019. My I-140 was filed standalone in Sep 2018 and approved in Dec 2018 (delay due to an RFE). My I-485 + 131/765 was subsequently filed in Jan 2019, after the I-140 was approved. If the 'underlying benefit application' refers to my I-140 rather than I-485, the medical exam would still be perfectly valid until Aug 2020.

[Enub4]

bgfork the underlying benefit application is form I-485, because your I-693 was done more than 60 days before Jan 2019 it is not valid per Nov 1, 2018 changes.

[gaps0214]

Thanks gaps0214, I wish I had your civil surgeon. My first civil surgeon was quite nice and charged <$100 if i recall correctly. His office was pretty no frills (almost seemed unclean) though.

I went to re-read the new policy on USCIS website and realized that I may have just wasted $400 + Fedex cost. The rule for I-693 submitted after Nov 1, 2018 said that if I-693 was signed within 60 days of the date of filing of 'underlying benefit application' (unclear what this means), it is valid for 2 years from the date the civil surgeon signed.

My original I-693 was signed in Aug 2018 but wasn't submitted until Jan 2019. My I-140 was filed standalone in Sep 2019 and approved in Dec 2019 (delay due to an RFE). My I-485 + 131/765 was subsequently filed in Jan 2019, after the I-140 was approved. If the 'underlying benefit application' refers to my I-140 rather than I-485, the medical exam would still be perfectly valid until Aug 2020.

bgfork My medical exam was done in the same month as I sent out the I-485 filing with other forms.
Enub4 is correct that the underlying benefit application the requires the medical exam is your I-485. And reading from your timeline narrative, the medical exam results of August 2018 is 150 days old when you filed I-486 in January 2019, which does not meet the policy information you read from the USCIS website. Although the August 2018 medical exam is indeed valid for two years, there could be a technicality to its application to your I-485.
Now I am assuming you filed your I-140 in September 2018 (rather than your typed 2019) because you could not have filed "subsequently" your I-485 on January 2019 "after the I-140 was approved", so if the underlying benefit you are applying for with your August 2018 exam is with the I-140, then you are home free in the matter because you did file your I-140 the month after in September 2018, and approved on December 2018, hence making the medical exam results stand until 2020. I feel there can be some grey areas that only an immigration lawyer could clarify - and that is if your I-485 is filed in conjunction with your approved I-140 would the medical exam results of August 2018 on record be applicable?
Cheers.

[bgfork]

gaps0214 Thanks for the super detailed answer. I did indeed mean 2018 for the I-140.

$400 is worth the peace of mind I suppose