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Old 12-25-2008, 12:10 PM
Sandra L Sandra L is offline
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Join Date: Jan 2008
Posts: 111
Default If you have to pay yourself, go to Germany, lower cost, more experienced doctors

Quote:
have experience with ProDisc-C having had 4 discs replaced last April. ProDisc-C was approved by the FDA for one level in December 2007. I went to Germany and am trying to get Anthem BC BS to cover it, but don't think I will be successful.

If you want to check out this prosthesis you can visit Synthes Spine at http://us.synthesprodisc.com/EN-US/SurgeonInformation/ProDiscCervical/
read both the patient and surgeon sections. You can call them at the ProDisc hotline (1-800-895-7764) Monday – Friday, 9 am - 8 pm (EST) and they will give you a list of the doctors who have completed the training. Then you have to make calls to see if anyone is actually doing the surgery. They also have a section to help you get insurance coverage.

Terry has had success with Prestige, he's on vacation, but sure he will get back to you. There are other cervical Prestige ADR's here, search Prestige and ProDisc-C. There is another cervical device Mobi-C, but don't think it's approved here. Available in Germany however.

Let me know if I can answer any questions. I'm a patient, but there are many people who have been in medical field for years, plus having ADR surgery, who can give you many different options. Good luck and take your time researching a device and a doctor. Sandy
Lee, There are some people who have gotten coverage and other's none. It seems to help if your surgeon has connections and is will take the time to help you with this. There are even surgeons in your area who have gotten permission from the FDA to do multiple ProDisc-C. Search Dr. Delamarter in Santa Monica/LosAngeles or Dr. Chapman in Seattle to see if there is a patient who has gotten insurance coverage.
Sandy
__________________
**Accidents, active life-style, always some back/neck pain controlled w/ibuphrofen
2004 excessive pain, x-ray, PT, MRI diagnosis cervical DDD
**PM recommended, meds, PT, massage therapy, chiropractor, injections
**Dec. 2007 numbness and weakness in left arm/thumb, x-rays, MRI, discs at C4-7 pushing on spinal cord, fusion or ADR out of country
**April 7, 2008, discogram at C3-4, surgery 4 levels, Prodisc-C, Dr. Bertagnoli, Germany
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