Any hard evidence I can show insurance that Prestige better than fusion?
Hello friends: Is there any hard core evidence that I can show my insurance company that proves that the prestige cervical disc outcomes are better than a regular fusion? They denied my ADR on the basis that there isn't enough evidence beyond just "theory" that proves that an ADR is better than fusion. Thank you! (I am in the USA) Or, is there a proven better artificial disc besides the Prestige?
Lee |
If you have to pay yourself, go to Germany, lower cost, more experienced doctors
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Sandy |
I can't remember if the Prestige has CE mark approval (Europe's equivalent to USA FDA's blessing) but if it has you should be able to dig out the report they submitted for their approval to show that the disk does work.
The answer to your second question is that there isn't a disk that has been proven to be substantially better than the others in a clinical trial or through an extensive use history. All we have is speculation, analysis based on speculation, and lots of marketing. |
Hey there. I am currently getting an insurance appeal ready ahead of time (looks like I will be having prodisc with delamarter since the cost difference isn't AS much as I thought. I'd love to go to Bertagnoli but the travel will kill me). Anyway, Synthes, the manufacturer of the ProDisc, can give you literature/studies showing superiority of ProDisc to fusion. It's different for cervical than for lumbar obviously, or I would just share all the studies/citations I have accumulated. But look on their site and then call their "PAL" Patient Assistance Line...(too cute by half, I know. :) That's what they call it). Wishing you much luck.
Leora |
Leora,
If I were as close to Delamarter as you are I wouldn't consider going out of the country. You'll be fine. I'm not having any luck with insurance. Dr. B's charges are a flat rate, BC/BS wants an itemized, day by day, hour by hour!!, charge for each individual thing, like they do here. You know $100 for a pain med, etc., etc., :flaming: Best wishes, will keep you in my thoughts and prayers. Sandy |
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