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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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Okay, not sure if this has been brought up yet, but my surgeon brought up a good point...
TriCare (the military insurance), all regions, only covers ADR for those who are on active duty; they will NOT cover the surgery for those who are military dependents or retirees. ![]() This means that entire demographics of patients are being excluded from what, clearly, the military endorses as a valid medical procedure. Spouses, children, and retirees are completely ineligible for the procedure to be covered, but active duty are covered 100%. I could understand if they denied EVERYONE, but it's only non-active duty clients that are denied. ![]() My doctor suggested this was class-action lawsuit worthy because it is, in some form, discrimination. Anyone else feel the same? Thoughts are appreciated. A few years back, this wasn't the case (there was no discrimination on what was covered based on your status as an active-duty member or otherwise). I guess this is the result of all those *wonderful* D.C. budget-cutting sessions. ![]()
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Surgeon: Dr. Kenneth Pettine @ The Spine Institute, Loveland, Colorado Freedom vs. ProDisc-L Trial Participant 2006: Initial disc herniation/spinal injury at L4-5, L5-S1 2007: Physical therapy and manual chiropractic rehabilitation to manageable level. 2010: Fall down flight of stairs, re-injury. 07/20/2011: L4-L5 Freedom ADR Surgery Facebook Me |
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