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The Big File All issues not easily categorized in the above forums are here. Comments on general health, diet, "getting comfortable," and more are here. |
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#1
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Folks, you may see the articles I frequently post (almost daily) in the article library -- most are specific to ADR. Today's post about patients in NJ hints at BCBS policy changes for ADR coverage in the near future!
Also, one of our members had a huge real success appealing & winning against Athena's policy of not covering ADR -- she won and she's covered! More on this from her soon...
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"Harrison" - info (at) adrsupport.org Fell on my ***winter 2003, Canceled fusion April 6 2004 Reborn June 25th, 2004, L5-S1 ADR Charite in Boston Founder & moderator of ADRSupport - 2004 Founder Arthroplasty Patient Foundation a 501(c)(3) - 2006 Creator & producer, Why Am I Still Sick? - 2012 Donate www.arthropatient.org/about/donate |
#2
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I have my fingers crossed the UHC is moving in this direction also.....
John
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John Greensboro, NC DDD L5-S1 Lost all ADR Appeals w/ UHC PLIF Fusion L5-S1 on 5/17/05. Pars Defect L3-L4 DDD L3-L4 L4-L5 3 LVL Fusion Scheduled 4/08 |
#3
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I tried to make my case with my insurer last November after FDA approval. Said they would consult Orthos for review. I never got a call back, so just before Christmas I called...
Told to wait "Too new - don't be the first one.." I am so frustrated I can't stand it. Max |
#4
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Max, I would be even more frustrated after getting that response! Did you get a copy of their policy that states the nature of their exceptions for coverage? Most or many insurers call ADR "experimental," which is no longer the case -- at least with the lumbar arthroplasty.
More soon...
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"Harrison" - info (at) adrsupport.org Fell on my ***winter 2003, Canceled fusion April 6 2004 Reborn June 25th, 2004, L5-S1 ADR Charite in Boston Founder & moderator of ADRSupport - 2004 Founder Arthroplasty Patient Foundation a 501(c)(3) - 2006 Creator & producer, Why Am I Still Sick? - 2012 Donate www.arthropatient.org/about/donate |
#5
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Quote:
BTW, good morning everyone. Hope this finds you all pain free.
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Brenda Low back pain,Spring 2003 X-ray & MRI Spring 2003 Diagnosed DDD l5-S1 Spring 2003 Epidural & Nerve root block, Spring 2003 Maverick disc December 2003 13 months post op "To the world you may be one person, to one person you may be the world." |
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