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Old 10-03-2006, 08:35 AM
LBP LBP is offline
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Join Date: Aug 2005
Posts: 446
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David,
my cobra just expired but my last attempt to get a hybrid approved (fusion at L5/S1 with Charite at L4/5) was denied. I had Pacificare which was bought out by UHC. When I pressed, they conceeded that they would approve the fusion at L5/S1 but would not approve the adr at L4/5, and did indicate that they would approve at 2 level fusion (since I pointed out that the injury to my L4/5 is the same as to L5/S1).

I am now on a state health plan for people whose Cobra has been exhausted. Was hoping to try a 2 level pro disc claim ...until I read what you wrote about no off label use being allowed May have to try the hybrid approach with pro disc with my new ins. Good luck to us!
__________________
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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