Thread: Need Aetna help
View Single Post
  #8  
Old 03-09-2009, 11:57 AM
JasonR JasonR is offline
Member
 
Join Date: Jun 2008
Posts: 71
Default

Quote:
Originally Posted by Deborah View Post
This Aetna thing really suprises me... I guess maybe the balloon coverage aspect of it could make a difference. I'd suggest you also talk to Prodisc (if that's the type disk you anticipate using) as they have stated Aetna has covered a number of TDR's. The doctors we consulted with at TBI also said it's 'routine' with Aetna. I think you can win this one with a bit of perseverence (not easy, I know). We had to stand firm a long time for coverage for my hub's lumbar hybrid (different insurance). I think cervical should actually be an easier fight to win with such good trial results.

Good luck!
I was surpised at first too. It's been two weeks now since I sent them their own policy bulletin stating they cover it and we haven't heard anything back yet. I keep hoping that it was nothing more than a lazy employee just going along with the previous denials.
__________________
DDD C5/6. Incorrectly diagnosed as tension headaches in September 1997.
Nearly continuous headache since.
Began having pain in wrists in 2000, believed it was onset of carpal tunnel.
In 2005 pain began getting worse.
Diagnosed as DDD in July 2007.
Surgery recommended after 6weeks of PT made the pain worse.
ADR scheduled for Jan 26, 2009. Rescheduled for August 5!
Bryan disc finally FDA approved, and just in time too.
Neck was all jacked up and had to be fused unfortunately.
Reply With Quote