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The Big File All issues not easily categorized in the above forums are here. Comments on general health, diet, "getting comfortable," and more are here.

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Old 09-08-2005, 07:48 PM
cervie queen cervie  queen is offline
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Join Date: Jun 1998
Posts: 264

I've waited five years for the technology so that I wouldn't have to have fusion on three levels. Now that my lumbar is too far gone for ADR I had scheduled fusion at one level with Dynesis on two adjacent levels. I scheduled that over three months ago and the surgery was to be Sept. 22. Today I got the call that Cedars Sinai in Los Angeles declined to accept me as a patient because I was a medicare Patient. Medicare won't pay for the BMP for the fusion and they don't pay enough for hospital stay. So I've cancelled.
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Old 09-08-2005, 08:48 PM
Harrison's Avatar
Harrison Harrison is offline
Join Date: Oct 2004
Posts: 6,925

Cervie, I am so sorry! How absurd and how ANGRY you must be!

So many people have tried to change the direction(s) some insurance companies are taking. Does your unfortunate plight relate to Amy's thread about CMS?!

Let us know how we can help.
"Harrison" - info (at)
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
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Old 09-08-2005, 09:24 PM
cervie queen cervie  queen is offline
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Join Date: Jun 1998
Posts: 264

Amy's thread about CMS deals with whether or not Medicare will pay for the ARtificial disk. My surgery was fusion and Dynesis and Dynsis is considered fusion, so Medicare will pay for it. It was the Hospital that is refusing to see a Medicare patient. We work our whole lives to qualify for retirement and Medicare. But if the hospitals and Doctors won't accept Medicare it is of little use. I have a secondary insurance company so I'll try to contact them, but I doubt if they will pick up the vast difference.
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Old 09-08-2005, 11:49 PM
Justin Justin is offline
Join Date: Oct 2004
Posts: 954


Sorry to hear the news. I wish you the best with your secondary insurance. I hope your husband is feeling better too.

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Old 09-08-2005, 11:59 PM
sahuaro sahuaro is offline
Senior Member
Join Date: May 2005
Posts: 455

Very upsetting news indeed--you've been through so much already. Does your surgeon work at any other hospital(s)?
2001 MVA; C5-C6 disk extruded
ongoing physical therapy, exercise and massage
ESI's, oral prednisone, trigger point injections
foraminal and central stenosis C5/C6 and c6/C7
2007 EMG/nerve conduction shows pattern of chronic radiculopathy
January, 2008: Prestige ST Artificial Disk Replacement, C5/6
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Old 09-09-2005, 12:04 AM
Fortitudine Fortitudine is offline
Senior Member
Join Date: Jan 2005
Posts: 370

Jeez, Hilary, what a bummer! After all your research and agonizing, to be dumped by the hospital. The stress! I hope you had a stiff shot of your favorite beverage.

We are so lucky in Canada - it's a lot simpler - you either takes what public health care offers you, or you cashes in your retirement plan and goes elsewhere!
Cervie trying to avoid 3-level fusion
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Old 09-09-2005, 02:30 AM
djscal djscal is offline
Senior Member
Join Date: Apr 2005
Posts: 232


How about trying for the Century City Doctors hospital? Regan is going to be doing surgery there very shortly.

Age 34
DDD L5-S1, bulge and Grade V annular tear.
SED 2/15/05 - no luck
Charite @ L5-S1 8/2/05 with Dr. Regan
Struggling with facet joint pain.
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Old 09-09-2005, 03:00 PM
Dale S Dale S is offline
Join Date: Jun 2005
Posts: 236


How terribly disappointing although my feelings are closer to fury. I just read in this mornings paper that our brains are continuing to evolve and grow is size. It makes you wonder if those who decide on our health care aren't throw-backs to the neanderthal.

The Doctor's Hospital is now open but I don't know their policy on Medicare. I do know that they don't accept many insurances, including Blue Cross, because they don't pay enough. As a cash patient Cedars wanted $78,000 but the Doctor's Hospital wanted $90,000. I'm going to Germany!

Hilary, you don't deserve this and I'm very sorry. Good luck in trying a different direction.
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Old 09-09-2005, 05:14 PM
Carmont Carmont is offline
Join Date: Dec 2004
Posts: 90

I recently heard from a friend and a patient of Dr. Regan's that he does not accept insurance of any kind. Does anyone know this to be true or not? Thanks, Carmont
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Old 09-09-2005, 05:39 PM
letteski letteski is offline
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Join Date: Mar 2005
Posts: 814


This is absolutely appalling and I can�t believe a hospital with such a reputation would not take Medicare. Have you spoken to Dr Bray? He has so many patients, he must of run across this before.

You do will certainly deserve gold and diamond hardware after this.

Hang in there. I will be praying for you. Keep us posted.
ProDisc L5-S1 W/Dr Delamarter Aug 23, 2005
L5-S1 DDD Diagnosis 12/04
T-12 Compression Fracture 10/04
C-7 Spines Process Fracture 5/99
You are my Rock God in you I can do anything
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