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#1
05-08-2009, 03:28 PM
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BCBS of Louisiana
I live in Louisiana however, I have BCBS of TX. The surgeon who is going to perform my Prodisc-C said that one of his doctor colleagues needs an ADR and BCBS La will not give in. He said that he spoke to the guy at the top who has the last say so (the medical director?) and his words were "as long as I am in charge we will never approve artificial discs".
Just a heads up for anyone who has that carrier.
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Chiari 1 malformation - successful surgery 1-22-09 C5-6 herniation (extrusion) with moderate central canal stenosis and bilateral foraminal stenosis. Prodisc-C @ C5-6 5-28-09 Herniations/Buldges @ C4-5, C6-7, C7-T1, T1-2, T3-4, T6-7, T11-12 
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#2
05-08-2009, 08:08 PM
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Fusion is great for many indications...
...and for people that may have no other choices. That said, fusion technology has evolved significantly over the past 100 years (yes, I said one-hundred years), while many other treatment methods have been introduced.
What's the medical director's issue with preserving motion? Does he support any new treatments to help spine patients other than fusion? BTW: Laurie Todd (Insurance Warrior) gives some good advice about people like this -- it's in her book and in the posts on this site...search with either term. This $20 investment has helped some patients on this site win BACK the cost of their ADR procedure! Not a bad ROI. 
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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
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#3
05-15-2009, 02:59 PM
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BCBS TX approval of Prodisc-C
BCBS TX got all of my paperwork on 5/11/09 and I just called and they have approved it as of 5/15/09. I hope and pray that this disc is causing my problems.
__________________
Chiari 1 malformation - successful surgery 1-22-09 C5-6 herniation (extrusion) with moderate central canal stenosis and bilateral foraminal stenosis. Prodisc-C @ C5-6 5-28-09 Herniations/Buldges @ C4-5, C6-7, C7-T1, T1-2, T3-4, T6-7, T11-12
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