Thanks for the reply. Believe it or not I am not putting her through this, tricare is. We are attempting to reenforce our rebuttal now and with any luck the fusion will be approved. What we are hearing is that ADR is getting approved for active duty but not spouses. It is insane. And now that she doesn't trust her doctor it makes it even more frustrating. Thanks again for the response. We will keep fighting. I am even looking seriously into an out of pocket option. I am so glad I pay taxes...John
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