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Old 04-19-2021, 11:55 AM
Cheryl0331 Cheryl0331 is offline
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Join Date: Dec 2010
Posts: 890
Default My personal experience

Insurance usually only covers 50% out of network and will not cover the cost of a device that is not approved in the U.S. These devices are about $5000 each. So even if you get approved, you are out at least the cost of the implant, plus the 50%. Some insurance will assess a 10% penalty for not being preauthorized.
Surgical necessity is the first thing.
They may also ask for any other conservative treatments you have tried.
__________________
54 yr old female 5'7" 147 lbs. non-smoker conservative treatments failed
2007 fusion @ C4-6 peek cages, failed due to long term use of cox-2 inhibitor
2008 revised C4-6 donor bone, plate & screws
2009 fusion with Roi-C @ C3-4
2015 MRI & CT mjr ddd @ C6-7, segmental kyphosis at C7-T1, 2-level M6-C prosthesis by Dr. Clavel Barcelona Spain
2019 H.O. formed behind M6-C @ C6-7 left nerve rt & in spinal canal.
2020 Revision C6-7 to a CP-ESP prosthesis by Dr. Schmitz Dusseldorf Germany
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