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Originally Posted by Running11
I have Blue Cross/Blue Shield PPO and have been to 4 orthopedic surgeons (spine specialists) and a neurosurgeon. I just found out the Doctor who denied my first appeal for Blue Cross Blue Shiled only works with foot , knees and hips. He isn't a spinal surgeon. i am about to start my second appeal and wonder if this new found information would help get it approved? I would even consider a hybrid at this point.
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BCBS is notoriously bad at paying for stuff. If you haven't already watched it, watch Sicko. These doctors? They are PAID to deny claims. That is their job. The more claims they deny, the more money they make. I wish I were making that up, but I'm not.
And, if it makes you feel any better, the doctor that denied my hybrid was a sodding pee doctor. (HA! I got around the no swearing rule by doing it in British!)
How did you get your injury?
Also, you might be able to push a hybrid through, and get Dr. Coe to put the new diamond disc in your lumbar spine, (they said no adjacent levels, and the cervical is NOT adjacent) then you could get all three levels taken care of. I like Dr. Coe, and if I were going with one or two levels I would totally feel comfortable with him operating on me.
One of the other questions to ask each doc is if they have ever been able to get a hybrid approved.
Also, I may not have communicated the question I was really asking. I am wondering if you get your insurance through an employer or what. My husband works for a prominent company, and they have their own customer service line, so I got to thinking that maybe HR could breathe down Cigna's neck. And they were, until we realized that I had too many levels to push through. Two we could maybe have done, but not six! Perhaps whoever you get your insurance from would be willing to help?
AND, finally, and yes, I am totally serious, I am thinking of contacting Michael Moore. I wonder if he would be willing to do a documentary on all of the technologies being kept out of the country. They showed in Sicko where one guy wrote in to Cigna saying that Michael Moore was doing a documentary and he would tell Michael all about the hearing device they were refusing to give his daughter. Guess what? Cigna approved the device! I was wondering if we could do something like that for the people on here who don't have the resources to leave the country.
If we have people here who are in on the idea, I'll email him. The worst he can say is no.