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Old 04-20-2008, 10:46 PM
LBP LBP is offline
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Join Date: Aug 2005
Posts: 446
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Yes, it's me. I just had a 2 level prodisc at l4/5 and l5/S1. I was pre approved under a private Medicare contracted health ins plan.I know my particular plan was offered only in limited areas, and I selected the most expensive monthly premium plan offered by this company. It's a premium over and above the monthly medicare costs but in comparison to many Cobra premiums it's much less in total.

Also, I selected one of the surgeons that was one of the investigators of the Prodisc, I have no idea if any of this matters or that it's been 7 years since I was injured. Who knows.

I was shocked when I got the approval. I didn't know what was going to happen but when I looked at the list of companies offering comprehensive medicare plans, I selected the one that I've read here has been most consistent in covering ADR.

The Aetna Medicare plan offered in my area, was a PFFS which stands for private fee for service. It allowed me to go anywhere and to anyone that accepted Medicare. there's no network/out of network or out of state issue. It's just up to the individual provider/dr to decide whether they will agree to accept me as a patient and the provider/dr can change their mind at any time I seek additional care.
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Injured 9/01
Annular tears L4/5 & L5/S1
denied adr by insurance for 2 level charite as well as hybrid fusion at L5/S1 with Charite at L4/5.

New ins paid for 2 level lumbar prodisc surgery on 4/7/08 (at age 39) with Dr. Westerlund, at Core Orthop
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