[colorado babe]

Originally Posted by Optimistic

Colorado Babe - I am very happy that you won your appeal for ADR surgery. I am also a bit surprised that you were successful if you are obtaining multi-level surgery for the cervical & lumbar areas. My questions are:
Which insurance carrier do you have?
On what basis did they deny your request, e.g. experimental, inadequate conservative treatment, etc?
What additional information/documentation did you provide on your multiple appeals?
How many levels of ADR were approved?
Which levels were approved?

This info can be helpful to countless others. I wish you success with the surgery and your recovery.

I just posted a long response and when I hit send it said I was not logged in when I was. I have Tricare Prime and all my problems with my back are service related and I am rated 80 percent disabled with the VA. I will try and respond later when I have time. I am currently in nj visiting family. It might not be until Tuesday but I would be happy to share all my info with everyone. #1 key, get your congressman involved and your surgeon in the appeal process. Also evidence-based practices and studies showing that ADR is better, cheaper, faster recovery rate and hospital stay than Fusion. let them know that you have exhausted every option with eastern and western medicine and that you refuse to get a fusion. I also told the third party that It was my body and I should have a say on what is best for me and my body. Will post later when I have more time.