ADR Surgery Done, Waiting for Denial.
Hello everyone. I have BCBS as my insurer under the federal employee program. I am retired. My primary physician put me through all the paces before referring me to Dr. Kenneth Light in San Francisco, who is one of the best spinal surgeons in the Bay Area. Dr. Light reviewed my MRI and x-rays and urged me to choose the ADR choice rather than a fusion and explained all the advantages of the ADR and disadvantages of the fusion. It was a no-brainer. He went ahead and tried to get an approval from BCBS and of course they denied it as investigational. Due to my condition, we went ahead with the surgery, which I paid for out of pocket. We are now submitting the claim and expect a denial from BCBS. I really appreciate this forum and look forward to your help with my case as it develops.
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