Since I am in the middle of a fight with Great Worst Health Insurance - I received a new fax today from them. It was a 2+ page policy report on Interertebral Disc Prosthesis.
They include a lot of references to the succes of ADR but their policy states "...not covered since it is considered experimental"
and here is the info regarding the FDA approved Charite: "Despite it's approval by the FDA there is insufficient evidence available at this time to determine the efficacy of the procedure as a treatment for degenerative disc disease compared to standard treatment/ Controlled studies on artificial disc replacement in sufficiently large patient populations with longer-term follup are necessary to draw definitive conclusions about effectiveness, especially compared to competing procedures such as spinal fusion. Based on this assesment the procedure is STILL considered experimental and investigational and your appeal is DENIED."
Nice - the FDA trials were enough for our government but not for Great West...
I am at a dead end with them and I am in so much pain I can't wait any longer.
|