Hello,
I'm 18 years old and have needed ADR for over a year. I had microdiscectomy surgery summer of 2011 after United HealthCare denied ADR surgery at that time (and denied all our appeals). The disc started bulging again by October 2011 and was fully herniated by March 2012.
UHC has again denied coverage this year, and denied the peer-to-peer review.
I am scheduled for ADR surgery this Friday, May 25, and my family has pulled money out of college savings to pay for it.
We have contacted several media outlets and customer advocates, a lawyer's office specializing in insurance bad faith cases, and the Synthes ProDisc PAL office. We will be picketing the UHC office in Cypress, CA this Wednesday May 23 from 11 AM to 1 PM.
At this point we want UHC to not only cover my procedure, but also change their policy so others can have Lumbar ADR without having to go through this nightmare. We've really appreciated the great info we have found here from gymnast1981, the
list of insurance companies that cover this procedure, and the
ProDisc PAL info!
Thanks big time for having these bulletin boards. It's great to know we are not alone in this fight.
__________________
Christina (18 yrs old) from CA
Sophomore at NAU, Flagstaff AZ
ADR denied by UHC in May 2011
Microdiscetomy July 2011, disc failed within 3 months
ADR denied by UHC again April 2012
Peer to Peer Review denied May 2012
Paying for ADR surgery scheduled for May 25, 2012
Fighting UHC in media and multiple fronts.
http://www.facebook.com/BackMyBack
http://www.indiegogo.com/backmyback