Hi. I'm a newbie contemplating ADR.
My primary, Empire Health Choice has ok'd a two-level replacement although the fine print says they can review this; thus, I'd have to put money up front for my surgeon due to uncertainty.
My secondary, BC of CA (group ppo thru a university) won't tell me if Utilization Review pays for ADR. I know BC is w/Aetna (or was) is holding out, but my surgeon's office says "maybe".
My sense is not to depend at all on my secondary - esp. since it's not a private plan, 'tho a group PPO.
Does anyone think that I'm on-target in not counting on my secondary?
Thanking in advance and very happy to have discovered this place.
Sincerely, ans
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Severe, extensive DDD, considered inoperable by Dr. Regan, Lauressen, & some guy at UCLA. Severe foraminal stenosis (guess they can't operate!) and some spinal cord compression that Lauryssen would fix if gets outta hand.
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