|
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. |
|
Thread Tools |
#1
|
||||
|
||||
Update - Third Appeal Tricare
Thanks to everyone on this website for helping me as I fought Tricare. Today I received a fed ex package from KePro an outside agency that makes decisions for folks who have been denied by Tricare two times. I received great news that they reversed Tricare's decision and I am now approved for three artificial disc. KePro stated that ADR is not experimental. I am so happy I am still in shock. Thanks to everyone who helped me.
__________________
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 |
#2
|
||||
|
||||
That is GREAT news!!! Congratulations!
__________________
C4/5 - ACDF in 2000 C5/6 - ACDF in 2002 C3/4 & C6/7 - M6 ADR, Nov 2009, Barcelona Conceded defeat to a manifestly disingenuous BCBS-TX in my quest for reimbursement, Jan 2011 |
#3
|
||||
|
||||
CONGRATULATIONS! Paving the insurance road for others as well as getting your surgery covered...awesome!
__________________
2004 MRI -cervical bone spur causing pain 2011 MRI -5 bulging discs at C3-7: Recommended C5-6 and C6-7 for a two level fusion, I said no thanks. 2014 MRI -progressive compression C5-7. MRI 6/5/14- Ruptured L4-5, bulge at L2-3 and L5-S1 Dr recommends discectomy of L4-5 but won't do surgery until cervical is stable 8/2014- 8 months/3 rounds of appeals, Aetna denies 2 level cervical ADR 2 level ADR w/ mobi-c C5-7 Jan 7, 2015 |
#4
|
||||
|
||||
Thank you. After 5 long months of fighting I can't believe I can focus on getting the surgery and making preparations for it.
__________________
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 |
#5
|
||||
|
||||
Surgery is scheduled for October 20th.
__________________
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 |
Bookmarks |
|
|
Similar Threads | ||||
Thread | Thread Starter | Forum | Replies | Last Post |
Tricare - Women Veteran's | colorado babe | Insurance Hell | 3 | 08-16-2014 09:40 AM |
Thanks for NOTHING, TRICARE! | GaryC | Insurance Hell | 6 | 08-06-2014 09:39 PM |
Tricare covering ADR | CCFour | Insurance Hell | 6 | 12-10-2013 10:15 PM |
TriCare and ADR | Azhure | Insurance Hell | 0 | 08-22-2011 02:43 AM |
appeal update | robby | Insurance Hell | 6 | 08-27-2007 05:41 PM |