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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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  #1  
Old 01-28-2007, 07:00 PM
rayray_1 rayray_1 is offline
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Join Date: Jan 2007
Posts: 13
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hello everyone. it's great to find a site like this one. well i'll start off by saying that i've had some back problems for some time, but then two years ago i was in a car accident and now l4 l5 and l5 s1 are trashed. i went to dr.delamarter and he said i needed prodisc adr, but the bad thing is that at the time of the accident i had kaiser which i couldn't afford shortly after the accident and now i have no insurance. i was hoping to find a ppo that would cover the surgery but don't know which companies cover it here in cali, if any since all of my mri's are going to be dated before my coverage would start. please help me with suggestions on an insurance provider, or am i screwed? thank you all very much
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auto accident 2 years ago
herneated disc L4-L5
herneated disc L5-S1
anular tear L5-S1
DDD L5-S1
4 medrol dose packs
3 epidurals
darvocet, vicoden and tylenol4

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Old 01-30-2007, 05:48 PM
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Harrison Harrison is offline
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Join Date: Oct 2004
Posts: 7,010
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Ray,

Both Depuy Spine (Charite') and Synthes (ProDisc) can offer you support with your insurance struggles. Call me if you need help!

We've all been there....
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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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Old 02-15-2007, 11:02 AM
Abbe Abbe is offline
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Join Date: Feb 2007
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I am in a similar position. We are now in the second month of "cobra" Blue Cross Blue Shield PPO California. I am on the 3rd Dr. who says disc replacement. Dr. Williams's office submitted to insurance with out a letter from him and we are now in the process of appeal. I am waiting for a copy of his letter so that we can be in sync. I asked him how many Prodisc surgeries he has done and he told me 15. I am feeling like I want someone with more experience. If his office gets me lost in the suffle again I am thinking of going elwhere any suggestions would be appreciated.
Thanks,
Abbe
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Water ski accident 86'
Chiropractic& PT Pain meds
Discectomy Laminectomy
L5 S1 Partially sacralized
97' epidural injections
L3 L4 ruptured and torn
L4 L5 Almost no disk height left along with osteophytes
Left leg pain and tingling going down back of leg into heel & foot
3 appeals with BCBS no success Lost insurance.
Kaiser Permanente
L3-L4, L4-L5 Prodisc 9/18/09
C5-6 & C6-7 ruptured and looking at hybrid surgery fusion & Prestige ADR
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