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Old 10-07-2011, 04:17 PM
Merlinus Merlinus is offline
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Join Date: Sep 2011
Posts: 13
Cool Aetna to cover only single level ADR, (I need 2 level)

I finally received word from my doctor that Aetna has agreed to cover the first level ADR, even if I am having the second level ADR done at my own expense. I will work out appeals with/against Aetna after having the procedure done. It took some time to convince the doctor's office to do this as they were sure that Aetna would deny everything. They were finally convinced after several calls back and forth to them , myself and Aetna. My surgery is scheduled for October 18th. The doctor expects they will charge me under $5000 for the second level. Well worth it to me, even if I lose all appeals.
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8/2011- Cervical MRI report:
C5/C6: broad based posterior disc osteophyte complex causing thecal sac compression & cord flattening. Moderate/severe canal stenosis 9mm & bilateral moderate neural foraminal stenosis.
C6/C7: broad based posterior disc osteophyte complex w/ a small component eccentric to the rt causing moderate rt neural foraminal stenosis & mild lt neural foraminal stenosis. A moderate canal stenosis of 10mm.
On 10/18/11, two level C5-C7 ADR completed.
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