View Single Post
  #1  
Old 06-22-2005, 09:55 PM
Kim Kim is offline
Senior Member
 
Join Date: Apr 2005
Posts: 267
Default

Hi Everyone
We are in the process of appealing our insurance companys denial of coverage for ADR. I had seen a post previously from someone who had PHCS insurance that had been approved for the procedure. I am seeking out anyone that has PHCS and has been approved for coverage. We had PHCS previously as our administrator for our insurance coverage and now have Great West.
In talking with one the HR dept heads, my husband mentioned the fact that we had been told that someone who had PHCS now had been approved and that it was our understanding that our insurance coverage had not changed only our administrator had. The HR person acknowledged this and told us that if we can get any proof that PHCS is approving ADR that this would help my appeal as they were our old administrators of our policy.
So if anyone out there can help me by either giving me a copy of thier approval letter or writing a personal letter stating these facts it would be of great help to me. I am currently writing my appeal letter and hope to get it in the mail the first of next week.
Thanks in advance
__________________
Kim
Herniated disc L5/S1 2000 Discectomy 10/2003 Rhizotomy 8/2004 and 3/2005Discogram 11/04 grade 7 tear L5/S1
L4/L5 Grade 5 tear with herniation and stenosis
Evaluated by Dr Blumenthal at TBI
2/2005 ADR 2 level recommended
2 level lumbar fusion
Reply With Quote