I am new to this site. I am in the Long Island New York area, and have Oxford Freedom select plan. I have DDD L5-S1 & DDD L4-L5 and am a candidate for ADR.
I have already been denied by Oxford "not medically necessary"
I went through the 1st level appeal process, same thing denied by Oxford "not medically necessary"
I went through the send level appeal process, same thing denied, "not medically necessary".
Went through the Greivance review board, same thing denied.
Then finally, Had to go through an External level appeal process, throught the State Insurance Department, they ultimatley came back and"DENIED" "not medically necessary".
I have also written the local news station, and currently waiting for a reply. I am at my wits end. I am willing to go as far as changing Insurance Companies. I have heard that Aetna (do not know which plan) is covering this ADR. If anyone has any information please let me know.
Thank you
Sue
-----
DDD L5-S1
DDD L4-L5
3 levels of appeals "denied"
external level appeals "denied"
|