ADR Coverage Denied Need Help Please!

[Kim]

Hi
I posted this in the other forum and then saw all this and realized I probably put it in the wrong one. I apologize for duplicate posts but wanted to have it seen by as many as can help out.

I have been evaluated by Dr Blumenthal at TBI and he recommded a 2 level ADR for me at L4/L5 and L5/S1. After being told by 2 customer service reps at our insurance company that this procedure was covered under our plan, I have had pre authorization denied by the physician at the case management level of the insurance company. I am working with Benefits at my husbands company since we are self insured and do have a little more control over covered benefits than some do.
They have advised me to hold off on the appeal but to gather all info I can on why an appeal should be granted.
I am looking for others who have had ADR here in the US and have had their surgery covered by private insurance.
I have found the web page with AEtnas policy and the page from Stenum stating the BC/BS and the federal employees program covers this at least in Germany.
Any help in this matter would be appreciated.
Also if you have info that would help with the appeal please feel free to share. I need all the help I can get at this time.
I am a massage therapist and am unable to work much at all now. This is one reason I wont even consider fusion at this point and time. I am terribly afraid that if I have a fusion I will not get the flexibility back I need to continue in my career.
I also have children and 9 dogs at home so its impossible for me to even think about going to Europe at this time even if I had the financial resources to do so which I dont
Thanks in advance for any help you can give

[Kim]

I wanted to add that our insurance is Great West. I saw someone else here has the same coverage. I was wondering what ever came of that ?
Thanks again
Kim

[ESL]

Kim

I gave you an answer that might be very helpful to you on the other thread.....

[ESL]

I just sent you an email ....