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hezeronek
10-14-2008, 05:00 PM
Well, it seems I've gotten denied by BCBS of TX for ADR surgery, based upon their opinion that the surgery is still experimental. I spent a great deal of time on the phone with them, asking for supervisor after supervisor, until I was finally forwarded to somebody who made sense. It seems that they will consider covering my ADR surgery if I can provide them with appropriate medical literature that proves it is safe and effective. Has anybody here had any success with this route? If so how?

I will continue with this thread, posting article references I find in favor of ADR, so as to help anyone else out who may be going through the same ordeal. If anybody has any insight or other references, I would be grateful for them as well! :D
Terry
10-14-2008, 05:11 PM
They are probably banking on the fact that no one will be able to come up with what they are looking for. Turn them on to the success stories here.

My 4 level was covered by Blue Cross of Michigan. They did right by me and I swear by them as they have insured my company for 20 plus years.

I hope you get what you need here.

Terry Newton
hezeronek
10-14-2008, 05:35 PM
Will do! It's encouraging that you got BC/BS to cover your surgeries! How did you do it?
Terry
10-14-2008, 10:54 PM
If it was not for a board member, who sells BC/BS insurance, asking them for a special review of my case I don't think they would have covered it. I have been the executive director of this company for 18 years and the board member believes in me greatly. It's nice to have friends in high and low places. :rolleyes: :D :) :cool:

Terry Newton
hezeronek
10-16-2008, 05:19 AM
If it was not for a board member, who sells BC/BS insurance, asking them for a special review of my case I don't think they would have covered it. I have been the executive director of this company for 18 years and the board member believes in me greatly. It's nice to have friends in high and low places. :rolleyes: :D :) :cool:

Terry Newton

No kidding! I don't know any of the higher ups, but I have been spending a lot of time printing articles to send to them! I've got my fingers crossed...