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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 03-22-2007, 07:21 AM
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Harrison Harrison is offline
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Just a reminder that JnJ Depuy Spine has developed programs to help patients with insurance appeals. On the Charitedisc.com site, you can find a list of insurance companies that cover the ADR procedure. That list is attached to this topic in PDF format.

If you need appeal support with a Charite appeal decision, see this topic.
Attached Files
File Type: pdf Insurance_Companies_ADR.pdf (103.2 KB, 653 views)
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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 05-20-2007, 02:32 PM
gosolar gosolar is offline
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Hi Harrison

That is helpful. Do you know if anyone has info on Prodisc like this. That is awesome.
Thanks,
Meg
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Meg
Herniated Fragmented Disc L3-L4 with L3/L4 nerve root compression 2002
Far Lateral discectomy 2002
Prodisc Implantation L3-L4 2004
Multilevel DDD
Planning for L5-S1 Prodisc soon
Past Hoops player, surfer, left wing hockey player. CUrrently
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  #3  
Old 05-20-2007, 03:36 PM
Jessica Jessica is offline
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Hi Meg,
There is a toll free number for reimbursement support on the prodisc website. 1-866-223-0508 . There are also several forms and guides for doctors and patients.

http://us.synthesprodisc.com/EN-US/Reimbursement/
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Jessica 39 yrs old
10/2005 MVA C5-C6 herniation w/ cord impingement/displacement Unable to work full time.
July 31, 2006 Surgery successfully completed Prodisc-C C5/C6 on in Straubing, Germany by Dr. Bertagnoli. Able to work full time since 1 month post op, but some pain remains.
10/2008 3 surgeons confirm C6/C7 needs ADR and always has.
Has anyone had a second ADR surgery on an adjacent level?
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Old 05-20-2007, 03:56 PM
gosolar gosolar is offline
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Thaks Jessica

I was just enroute to the site and then got yur email. They have come a long way since I last looked!
Thanks for the taking the time.
BTW... did you have insurance coverage? How are you doing now?
Meg
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Meg
Herniated Fragmented Disc L3-L4 with L3/L4 nerve root compression 2002
Far Lateral discectomy 2002
Prodisc Implantation L3-L4 2004
Multilevel DDD
Planning for L5-S1 Prodisc soon
Past Hoops player, surfer, left wing hockey player. CUrrently
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  #5  
Old 05-21-2007, 09:10 PM
rayray_1 rayray_1 is offline
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i'm hopefully going to have prodisc w/ delamarter after my insurence starts through my job. this form is gonna come in handy when they start jerking me around after my appointments.
you'll definately be hearing from me round that time harrison.
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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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  #6  
Old 05-21-2007, 09:43 PM
BB BB is offline
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Rayray,
FYI… I had a three level Pro-disc with Delamarter. He is an excellent surgeon. I have Aetna insurance and they paid all by about $3000.00.
I had the surgery in October 06 and am 100% better then prior to the surgery. I have some pain at night but each week marks improvement.
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DDD for 10 Years
10/06/06: 3 Level ADR (Prodisc) Surgery,with Dr. Delamarter
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  #7  
Old 08-28-2007, 01:05 PM
QueenB2411 QueenB2411 is offline
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Could you tell me what Aetna policy you had that covered the surgery? I am trying to get a policy with them but have been told not all of their policies will cover the procedure and Aetna has not been overly helpful at helping me with policy information.

Thanks!
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~ Hollyn
30yo mother of 3
L4-L5 DDD
L5-S1 DDD and herniation
Physical Therapy for 2 yrs, 2 epidural injections, 1 facet injection, discogram on 9/20/07 confirms 2 level ADR needed.
I wear a back brace and use a NMES/TENS unit in addition to taki
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  #8  
Old 09-02-2007, 01:27 PM
BB BB is offline
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I have Aetna Choice POS II.
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DDD for 10 Years
10/06/06: 3 Level ADR (Prodisc) Surgery,with Dr. Delamarter
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  #9  
Old 06-05-2008, 04:15 PM
Mi Mi is offline
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does anyone know if Aetna will cover ADR at Stenum hospital in Munich? thanks!
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  #10  
Old 06-05-2008, 04:58 PM
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Harrison Harrison is offline
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Hey all, I'll be "trimming" this thread soon. New questions = new topic.
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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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