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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
03-15-2005, 06:40 PM
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An angel sent me this today.
Dear Charit� Investigators: It's always a pleasure to let everyone know when good things happen. Today, Aetna, one of the nation's largest health insurers, has determined that the Charit� Artificial Disc is medically necessary for spinal arthroplasty in skeletally mature persons with degenerative disc disease at one level from L4 to S1 who have failed as least six months of conservative care. This should make preauthorizations for patients with Aetna policies much easier to obtain. You can view Aetna's policy at http://aetna.com/cpb/data/CPBA0591.html
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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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#2
03-15-2005, 10:54 PM
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Great newz!
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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
03-18-2005, 12:02 PM
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Make that 3 for UHC, right now I'm being drawn out in their appeals dept. They tell you 15 days, but wait a week and 1/2 before entering it into their system. Then when you call, they tell you 30 days......
I tried calling Care coordination to find out if they are in the process of updating their policy on ADR like Aetna, but I could have gotten more help from a brick.....
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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
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