Tricare - Women Veteran's
I am another Tricare recipient and have been denied for a multi-level cervical artificial disc and a lumbar Artificial disc. Tricare claims they will only cover one cervical ADR and not multi-levels. They also claim that the lumbar ADR is on the no pay list. I have appealed and they continued to deny. I sent in my packet yesterday for outside agency to review and consider but now I am regretting it as I just got on this forum last night. I am pretty sure it will be denied again as I only submitted evidence based practices showing that multi-level and lumbar ADR are not experimental and they have a higher success rate that fusion.
Today, I am submitting a package to the VA asking them to pay for the three ADR's since they are all service-related and I am rated 80 percent disabled from the VA. I am hoping they will approve the expense but I doubt it. I will keep you posted as I try to be positive.
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