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-   -   Got approved for Active L but going to try to get something better instead. (https://www.adrsupport.org/forums/showthread.php?t=13575)

ia75 10-14-2017 12:09 PM

I you don't mind sharing, which insurance did you get the ADR approved through? I was just (repeatedly) denied by BCBS FEP and I am quite devastated. Since open season is coming around, I am hoping to switch to someone to try again! Any advice/input is highly appreciated!

Tatonka_usn 10-14-2017 12:45 PM

Quote:

Originally Posted by ia75 (Post 116801)
I was just (repeatedly) denied by BCBS FEP and I am quite devastated. Since open season is coming around, I am hoping to switch to someone to try again!

As someone with BCBS FEP, I'm in the same boat. If you receive any feedback, would you be willing to pass it along...since I'm considering Europe vice dealing with FEHB at this point :mad::rant::censor:

GKTM300 10-14-2017 03:54 PM

Subsidence
 
Yeah your vertebrae might have been porous had you been inactive for quite a while. I had epoxy injected into my verts n thank God it held. Laterally I think means they come in from the side of your obliques? Good luck bro I wish you a painfree life. But your mess seem kind of light how much pain were you in that you went for surgery?

ia75 10-29-2017 04:20 PM

Still waiting
 
Quote:

Originally Posted by Tatonka_usn (Post 116802)
As someone with BCBS FEP, I'm in the same boat. If you receive any feedback, would you be willing to pass it along...since I'm considering Europe vice dealing with FEHB at this point :mad::rant::censor:

Hello, Tatonka_usn,
sorry for the late reply, I've been all over the place lately. My surgeon in Miami all but abandoned me after the initial denial, so I ended up retaining an attorney. I am still trying to get an urgent appeal processed but I am not really sure if that will do anything. I am from Florida, which state are you in? I contacted my senator here after BCBS kept stone-walling me and brushing me off. He asked me to sign a consent form because of HIPAA, no idea if this will make a different...for what it's worth, I am not going down without a fight!

I just got evaluated by Dr. Bergatloni in Berlin, Germany. He is supposed to be one of the best but also pricey: for a one-level ADR, I got a price estimate for $32,000 Euros. I am still waiting for the evaluation from Dr. Dasai (Cologne, Germany). He also has a good reputation. I heard that the Texas Back Institute may offer cash-prices as well...

I am so confused in terms of what device is best: I was initially going for the activL (that's the one the surgeon in Miami uses), TBI I believe does the ProdiscL, and Dr. Dasai uses the LP-ESP...

What is your status/plan?

Goforblue1 11-28-2018 07:23 PM

Hello! Just wondering how you are doing after your ADR with Dr. Desai?


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