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| New Member Introductions If you just joined, please introduce yourself here. Please add a signature describing your spinal history (use the "User CP) and ask us how we can help you get started. |
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#2
02-06-2015, 10:24 PM
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Hi Benni,
Please create a signature, it helps us help you: https://www.adrsupport.org/forums/f5...-health-11053/ For example, did you mean that the surgeon would perform a fusion and an ADR? Or do ADR now and other one down the road?
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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
02-07-2015, 02:18 PM
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I called my insurance (Optima) and they said multilevel ADR would not be covered, especially outside continental USA..
 How wonderful..
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46yo, DDD of L4-S1. Microdiscectomy L5-L4 in 2014. L4-L5-S1 M6 ADR with Dr. Clavel - June 2015.
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#4
02-07-2015, 05:54 PM
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I had a multi-level ADR performed on my cervical in October 2014. Insurance denied a multi-level but I won on the third appeal. Insurance wants everyone to just give up. I say fight, fight, fight. If we all give up they will continue to deny!
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1998- Injured neck and back in USAF 2011 - Started experiencing Severe Symptoms, Migranes, numbness, spasms in legs and feet and sciatica. Feb 2014 - Received upper Lumbar Injection - Severe Allergy to injection Mar 2014 - MRI of Cervical and Lumbar, protruding disc in C3-7, Herniated Disc in L5/S1, placed on STD and FMLA ) July 2014 - Stem Cell Procedure performed Oct 20, 2014 - ADR (MOBI-C) at C5-7 and Anterior Fusion at L5/S1 by Dr. Pettine and Dr. Techy
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#6
02-15-2015, 07:03 PM
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Good luck. Keep us posted!
__________________
1998- Injured neck and back in USAF 2011 - Started experiencing Severe Symptoms, Migranes, numbness, spasms in legs and feet and sciatica. Feb 2014 - Received upper Lumbar Injection - Severe Allergy to injection Mar 2014 - MRI of Cervical and Lumbar, protruding disc in C3-7, Herniated Disc in L5/S1, placed on STD and FMLA ) July 2014 - Stem Cell Procedure performed Oct 20, 2014 - ADR (MOBI-C) at C5-7 and Anterior Fusion at L5/S1 by Dr. Pettine and Dr. Techy
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#8
02-16-2015, 11:51 AM
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HI,
I worked with the same surgical "group" as Coloradobabe...different doctor, same practice. One of the items to investigate when you look for a surgeon is how active, helpful and successful the practice has been in convincing reluctant insurance companies to cough up the coverage. Our practice practically did everything for me, it took 3 submissions and like Coloradobabe already said, the insurance companies are hoping you just give up. I actually talked with an insurance specialist via phone at Cigna (my insurance) who admitted that there is enough evidence and experience that the "investigational and experimental" argument is null. Good luck and GB. Mike
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Mike 49 2006-2011 Chiro, epidural steroids, nsaids, PT for L4-5 bulge/annular tear April 25th 2012 35MPH rear end collision, blows out L4-5 and ADDS a tear in C4-5 Cancelled ADR to continue conservative therapies April 10th 2013: Insurance re-approved and I'm scheduling lumbar ADR for end of the month! *schedule* ADR Prodisc L April 29th 2013 5-2-2013 ADR using Prodisc L 7-10-2013 New MRI on neck. Surgeon DOES NOT recommend ADR for Cervical. "I'll be your Huckleberry"
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