Forum: Insurance Hell
06-24-2009, 08:25 PM
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Replies: 12
Views: 11,479
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Forum: Insurance Hell
06-24-2009, 02:21 PM
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Replies: 12
Views: 11,479
For what it's worth...
For what it's worth, I have the studies that United uses to justify their position that artificial discs are not proven long term. It is the opposite of what is being asked for, but still a window...
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Forum: New Member Introductions
06-13-2009, 08:38 PM
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Replies: 4
Views: 7,234
May day of surgery experience
Hi KitKat,
If it helps, I can tell you what it was like for me 3 weeks ago. I had it done here in Charleston, SC. We are lucky to have an excellent neurosurgeon here that is very experienced, so...
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Forum: New Member Introductions
06-12-2009, 03:15 PM
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Replies: 4
Views: 7,234
Take a look at my post surgery thread...
Hi KitKat,
Take a look at my Surgical Outcome Thread:
http://www.adrsupport.org/forums/showthread.php?t=10039
I had surgery about 2.5 weeks ago at the same level and it was a great...
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Forum: Insurance Hell
06-06-2009, 07:38 PM
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Replies: 3
Views: 6,674
Maybe not now, but soon...
Jill,
It appears from their website that they do not currently approve it, but there is also a Policy Statement Draft on the site that can be found by typing "Artificial Intervertebral Disc" as a...
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Forum: Insurance Hell
06-06-2009, 11:44 AM
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Replies: 5
Views: 6,188
Deny
Harrison, these are the ones used to DENY coverage. I think you will find that they are the same studies that are used to support ADR by other insurance companies. The difference is only in the...
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Forum: Insurance Hell
06-05-2009, 12:45 PM
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Replies: 5
Views: 6,188
United Healthcare Case Studies
I have a copy of all of the case studies that UHC refers to in their rejection. I am just not sure how to post all of them? Harrison, any suggestions?
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Forum: The Big File
05-29-2009, 11:10 AM
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Replies: 15
Views: 12,472
Insurance Carrier?
Hi Maddie,
Who is your insurance carrier? Why did they reject the procedure to begin with? I am also in appeal although I went and had a prodisc implanted on Tuesday, I am still appealing the...
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Forum: Insurance Hell
05-22-2009, 09:30 PM
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Replies: 19
Views: 21,384
Insurance Warrior
Thanks Harrison for the book tip. I do plan on getting it, but for now I am going to put the UHC issue out of my head and focus on being freaked out by the prospect of the CATHETER. I mean OUCH...
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Forum: Insurance Hell
05-22-2009, 07:22 PM
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Replies: 19
Views: 21,384
UHC Reviewing Surgeon is Plastic Surgeon!
I got my second appeal rejection from United Healthcare and it read as follows: "All of your supporting documentation was referred to a board certified Care Management Medical Director, "NAME", M.D....
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Forum: Insurance Hell
05-21-2009, 07:17 PM
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Replies: 11
Views: 10,371
That's Criminal!
Man, that really pisses me me off. If you find that article please let me know. I will stick it up their ...
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Forum: Insurance Hell
05-21-2009, 10:46 AM
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Replies: 11
Views: 10,371
Actual Cost of Prodisc-L Device
I thought that this might deserve a new thread. I was told by my hospital that the Prodisc-L device cost is $32,000. This is for the device only. Has anyone seen a device cost on their billing...
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Forum: Insurance Hell
05-21-2009, 10:44 AM
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Replies: 12
Views: 15,078
Monopoly Money
The numbers in these types of discussions are almost nonsensical aren't they? It's just mind boggling to conceive. In any case, I still intend to proceed and go into debt. Time will tell if I am...
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Forum: Insurance Hell
05-20-2009, 08:09 PM
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Replies: 12
Views: 15,078
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Forum: Insurance Hell
05-20-2009, 11:24 AM
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Replies: 19
Views: 21,384
United healthcare response
Hi Everyone, I thought some of you might be interested in the response of UHC regarding Prodisc-L. The meat of it is as follows:
"The FDA has the final say as to the Prodisc-L being effective for...
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Forum: Insurance Hell
05-19-2009, 03:04 PM
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Replies: 12
Views: 15,078
ADR - Cost. Going it alone?
Thanks Charles. That is staggering. I just spoke to the Neurosurgeon's office and they won't have my cost until tomorrow, but I will post it when I have it. Once again I really appreciate the...
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Forum: Insurance Hell
05-18-2009, 07:53 PM
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Replies: 12
Views: 15,078
Any recent info?
Thanks Harrison, kind of pathetic that I could not find that Post. In any case, has anyone had one done in the last year? Any rough idea as to what it ended up costing? Thanks again.
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Forum: Insurance Hell
05-18-2009, 06:38 PM
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Replies: 12
Views: 15,078
ADR - Cost. Going it alone?
Does anyone have any idea of what artificial disk surgery actually costs in the USA? I am waiting for my surgeon to give me an idea of this and was curious if anyone on the site paid out of pocket...
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Forum: Insurance Hell
05-14-2009, 08:04 PM
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Replies: 19
Views: 21,384
Appeal Decision by Monday
I was told today that I would get the appeal decision decision by Monday, but realistically see little reason for hope. I would like for them to be honest regarding their reasoning, but that is pie...
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Forum: Insurance Hell
05-13-2009, 02:40 PM
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Replies: 19
Views: 21,384
United Healthcare Rejection
Hi All, I am new to the site as a poster, but have followed the forum for some time. In a far from shocking development from what I have read, UHC rejected my surgery for L5S1 Prodisc-L due to the...
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