View Single Post
  #18  
Old 05-16-2014, 07:02 PM
Kelly4ADR's Avatar
Kelly4ADR Kelly4ADR is offline
Senior Member
 
Join Date: Jan 2014
Posts: 259
Default Ranting and venting

I am so frustrated. Nothing has changed other than I received a copy of the denial in writing today. They state the denial is based on the FDA has not approved a cervical two level. AND THE FDA HAS APPROVED A TWO LEVEL. Do they think they can just lie? Do they think I don't know that the FDA has approved? Did they not read the appeal paperwork that includes the FDA approval???? I feel like this is nothing more than a delay tactic and I AM IN PAIN AND IMPATIENT. I am trying not to take it personal,but just for today, I'm letting it be personal and I am mad! On the other hand, now I can have an external review. I hope that whomever looks over my last chance appeal realizes just because the insurance co says something, doesn't mean its true. .;$!!@%#£>?!! thanks for listening. Had to get that out. I feel better.
__________________
2004 MRI -cervical bone spur causing pain
2011 MRI -5 bulging discs at C3-7: Recommended C5-6 and C6-7 for a two level fusion, I said no thanks.
2014 MRI -progressive compression C5-7.
MRI 6/5/14- Ruptured L4-5, bulge at L2-3 and L5-S1 Dr recommends discectomy of L4-5 but won't do surgery until cervical is stable
8/2014- 8 months/3 rounds of appeals, Aetna denies 2 level cervical ADR
2 level ADR w/ mobi-c C5-7 Jan 7, 2015
Reply With Quote