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Insurance Hell All insurance-related matters are here: Medicare, worker's compensation, appeals, denials, insights, wins, losses. PRICING is here too. Note: This forum has posts from 2006 forward. Older ones are in the Big File.


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Old 12-03-2008, 01:11 AM
builder5840 builder5840 is offline
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Join Date: Oct 2008
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Denied two level through Kaiser of California, They state that they will do a single level but only if you meet the exact criteria that was used during the FDA study for the disc used. Unfortunatly I need two levels and they would not even fuse one level and ADR the second becuase the FDA study did not include installing an ADR next to a fused level. It stinks when you pay over 12K a year for insurance and then have to go overseas to have the best procedure done. and My insurance won't pay for anything that they don't do in house unless they refer you out which they never do.

Fall from ladder 05 lots of pain, lots of test
DDD C5,6,7 opted for ADR in Malaysia
scheduled surgery 03/09 using Discover disc
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