Thanks for the reply.....A good friend of mine is actually the chief of referral Management for Triwest... LOL..... The ADR procedure code is actually on their DO NOT PAY list, FDA approved or NOT...
Although I have had TriWest for over 10 years, I was given the advice that since I am a federal employee and open season is in October to just keep taking all my meds :-( and enroll in Federeal BC BS and on Jan 1st I am eligible for care and have the Neuro Surgeon send the Pre- Auth to them......
Or stay with Triwest and get a fusion because that IS a covered procedure....
So I guess I need to start reading about the different BCBS plans so in October I am ready to pick one and hope for the best.....YIKES
Is your insurance company willing to pay for the fusion?
