Hello everyone!
I need a fusion at L5/S1 and an ADR L4/5.
Has anyone had this done and had it covered by insurance?
Since Oxford always says no to this even through appeals, I plan on switching to Aetna at the advice of my doctor, he said they offer the best chance of getting it covered. Might get denied and then will have to appeal but if it works I would be more then elated!
Over the next month or so I will be preemptively gathering lots of studies, and documents to go to war in case I need it. I also have 6 years worth of images, tests, and failed treatments to show them.
If anyone has had this done and covered please let me know,
Thanks!!
