ADRSupport Community  

Go Back   ADRSupport Community > General Discussion > Insurance Hell

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.


Reply
 
Thread Tools
  #1  
Old 01-13-2009, 02:57 PM
JasonR JasonR is offline
Member
 
Join Date: Jun 2008
Posts: 71
Default ActiveHealth Management

For what it's worth, ActiveHealth is the organisation that has initially denied my ADR request. The appeal info has been sent and should be received and completed this week or very early next week. I have my pre-op labs and appt this Friday. I'm expecting the surgery to get delayed as I'd like to see if the FDA is going to finally approve the Bryan disc in the next few months. I wish they'd make a decision either way as its design has much greater appeal to me than the Prestige.

Regards,

Jason
__________________
DDD C5/6. Incorrectly diagnosed as tension headaches in September 1997.
Nearly continuous headache since.
Began having pain in wrists in 2000, believed it was onset of carpal tunnel.
In 2005 pain began getting worse.
Diagnosed as DDD in July 2007.
Surgery recommended after 6weeks of PT made the pain worse.
ADR scheduled for Jan 26, 2009. Rescheduled for August 5!
Bryan disc finally FDA approved, and just in time too.
Neck was all jacked up and had to be fused unfortunately.
Reply With Quote
  #2  
Old 01-13-2009, 03:04 PM
JasonR JasonR is offline
Member
 
Join Date: Jun 2008
Posts: 71
Default Additional info

It appears that ActiveHealth Management is owned by Aetna. I've heard that Aetna can be ADR friendly so hopefully this bodes well for the appeal(s).
__________________
DDD C5/6. Incorrectly diagnosed as tension headaches in September 1997.
Nearly continuous headache since.
Began having pain in wrists in 2000, believed it was onset of carpal tunnel.
In 2005 pain began getting worse.
Diagnosed as DDD in July 2007.
Surgery recommended after 6weeks of PT made the pain worse.
ADR scheduled for Jan 26, 2009. Rescheduled for August 5!
Bryan disc finally FDA approved, and just in time too.
Neck was all jacked up and had to be fused unfortunately.
Reply With Quote
  #3  
Old 01-16-2009, 02:31 PM
JasonR JasonR is offline
Member
 
Join Date: Jun 2008
Posts: 71
Default

They denied the 1st level appeal. Safety and efficacy was the reason. What exactly do we have the FDA for? Left a vm for my Dr's nurse to see what the next step is.
__________________
DDD C5/6. Incorrectly diagnosed as tension headaches in September 1997.
Nearly continuous headache since.
Began having pain in wrists in 2000, believed it was onset of carpal tunnel.
In 2005 pain began getting worse.
Diagnosed as DDD in July 2007.
Surgery recommended after 6weeks of PT made the pain worse.
ADR scheduled for Jan 26, 2009. Rescheduled for August 5!
Bryan disc finally FDA approved, and just in time too.
Neck was all jacked up and had to be fused unfortunately.
Reply With Quote
Reply

Bookmarks

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off



All times are GMT -4. The time now is 06:16 PM.


© Copyright 2006-2023 ADRSupport.org All rights reserved.