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  #1  
Old 07-11-2005, 07:47 PM
djscal djscal is offline
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Join Date: Apr 2005
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Hi guys,

I found out today that Regence BCBS (based in Washington state) is approving my hospital stay and charges for a single level Charite surgery with Dr. Regan. I do not know if they will approve Dr. Regan's and Dr. Wagner's (vascular surgeon) fees, but I have worked out a reasonable fee structure with the two doctors if those costs are denied. I don't know if its appropriate to say exactly what those costs come to, but lets just say its not nearly as expensive as I thought. PM me for more.

I'm going in on 8/2!

Dan
__________________
Age 34
DDD L5-S1, bulge and Grade V annular tear.
SED 2/15/05 - no luck
Charite @ L5-S1 8/2/05 with Dr. Regan
Struggling with facet joint pain.
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  #2  
Old 07-11-2005, 10:11 PM
Kat Kat is offline
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Join Date: Jun 2005
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Congrats and good luck with your upcoming surgery!

Hugs,
Kat
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1/91 Fell L4/5 L5/S1 herniation
11/92 disketomy-No pain!
3/03 Pain L4/5 L5/S1 DDD
5/04 TBI/Dr Zigler recommends 1 level ADR
4/05 UHC denies Charite. Appealed-Denied again
6/05 Scheduled fusion 6/28
6/05 Fusion cnxl'd-
6/05 Fusion w/NS 7/26 at 7:30am
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  #3  
Old 07-11-2005, 10:12 PM
spotty14 spotty14 is offline
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Join Date: Dec 2004
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Congratulations. Is this using your PPO or HMO? How come BCBS in Washington State has approved and not the Calif. branch? Just wondering.
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7/05 EMG/Nerve Conduction Tests
8/04 Disqualified from ADR clinical trial due to severe osteoporosis -- getting treatment
3/04 updated MRI
11/2000 IDET L 3/4, L4/5
1/2000 Discogram
numerous epidural injections
physical therapy
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  #4  
Old 07-11-2005, 11:08 PM
djscal djscal is offline
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Join Date: Apr 2005
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Spotty14,

Its Regence BCBS PPO of Washington. From what I understand BCBS has different policies in each state or groups of states that are affiliated with each other.

BCBS of CA has a bad rep right now in terms of paying for ADR according to my Doc.

Its bizarre and makes no sense to me, but thats the way it is right now.

Thanks Kat.

Dan
__________________
Age 34
DDD L5-S1, bulge and Grade V annular tear.
SED 2/15/05 - no luck
Charite @ L5-S1 8/2/05 with Dr. Regan
Struggling with facet joint pain.
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  #5  
Old 07-12-2005, 12:11 AM
ans ans is offline
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Join Date: Mar 2005
Posts: 1,596
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My BCBS of NY approved a two-level with Regan for April, 2005. The devil was in the fine print if they'd pay or not - despite authorization.
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Severe, extensive DDD, considered inoperable by Dr. Regan, Lauressen, & some guy at UCLA. Severe foraminal stenosis (guess they can't operate!) and some spinal cord compression that Lauryssen would fix if gets outta hand.
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  #6  
Old 07-12-2005, 01:21 PM
letteski letteski is offline
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Join Date: Mar 2005
Posts: 814
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Dan,

Prays answered for sure! Your fix is on its way as well as someone to take care of you for a few days see ya soon.
__________________
Paulette
ProDisc L5-S1 W/Dr Delamarter Aug 23, 2005
L5-S1 DDD Diagnosis 12/04
T-12 Compression Fracture 10/04
C-7 Spines Process Fracture 5/99
http://prodisc2.blogspot.com/
You are my Rock God in you I can do anything
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