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I am 44, married (blended family) with 7 children and will have two grandchildren in by November. I have just recently begun viewing this website and find that the information is extremely valuable and informative. I have moderate to severe pain and I am currently awaiting insurance approval for ADR. Dr’s office advised I would probably be denied as I have Anthem BCBS. I am not sure if this is the case or not as I am a federal employee (air traffic controller) and I have seen information that the insurance must pay if it is FDA approved. Time will tell. If the insurance will not, I intend to switch to Aetna during open season this December and hopefully will have ADR as soon as possible after that. I currently reside in recliner and have not been able to sleep lying down for 3 months. I seem to not be able to sleep until total exhaustion due to pain. I have been off work since April 2007. I really feel for the number of people with difficulties from this site.
Thank you, Steve Steve Injury carrying freezer up stairs in 1996 Partial Discectomy L5-S1, 1996 Re-injury carrying piano in 2006. Discogram – March 2007- Inconclusive DDD Referral to another doctor for another discogram – May 2007 Discogram – July 2007 – Recommendation for ADR – Prodisc L Too many pain medications! |
Steve:
Welcome to this site. I have seen here where ADR is paid for because it is approved for Federal employees. I wish you luck. Like many here it sounds like you need to get your life back. Hang in there. Terry Newton |
Steve, welcome to the site. Though your physical situation sounds grim, your options sound good. Do a search for "federal employee" in this forum, and you will find many helpful posts. LBP has posted some very helpful topics on this issue too.
Hope this helps. |
SteveO
If you are on a FEHB plan, the OPM policy should control and force your BCBS plan to cover ADR. See http://www.opm.gov/carrier/carrier_l...01/2001-27.htm You may need to submit this information/letter if for some reason you get an initial denial. Good luck |
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