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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 02-08-2006, 08:17 PM
kristi kristi is offline
Junior Member
Join Date: Jun 2005
Posts: 21

If you have been approved for ADR surgery, please let us know. When working on an appeal, sometimes it is useful to know which companies have approved, and you can include that info in your appeal letter. When I talked to my doctor's office recently, the insurance situation did not seem to have improved at all. Also, let us know why you think you were approved. So far as I know, UHC is not paying.

Good luck to all.
DDD for 15 years.
ADR candidate L4-L5, L5-S1
UHC insurance
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Old 02-08-2006, 09:53 PM
letteski letteski is offline
Senior Member
Join Date: Mar 2005
Posts: 814


Heath Comp is my insurance and is a 3rd party insurance through Universal Heath Network. UHN authorized my ADR and with a little parading Heath Comp paid the bills even for a non-FDA approved device.

You can read about my insurance success here
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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Old 02-09-2006, 08:32 AM
Eddie_G's Avatar
Eddie_G Eddie_G is offline
Senior Member
Join Date: Apr 2005
Posts: 238

My WC company is Liberty Mutual. I'm going for a second IME (Independant Medical Exam) in March and two of the three IME doctors were doing Charites. One doctor did 20+ (Vacarro in Phily) and some other guy in NJ who did his first one 2 weeks ago. AT least these guys are up on the technology even though I'm probably not using them. It seems like I may get my disc sometime this year after I jump through these hoops.
Yes I still want my Maverick (unless someone can show me a signifigant difference in distraction levels in the discs)and I am not letting the Ins Co. wear me down.
Time is what hurts the most. The combo of pain/drugs/mental stress is a killer! I need treatment, not evaluations, but these are the steps alot of us have to take.
12/16/03 Work Accident
Herniation and DDD at L4-L5
4/1/05 Discectomy
Epidurals and facet injections
5/15/06 Discogram confirmed L4-L5 DDD also an asymptomatic L5-S1 tear
10/24/06 L4-L5 Prodisc surgery with Dr. Goldstein
CAT scans & X-Rays show ossification
Trigger Point Injections, Medial Branch Blocks, Acupuncture, Weekly Deep Tissue Massage
10/27/08 Discogram (positive L5-S1 tear)
11/25/08 L5-S1 fusion with Dr. Goldstein
Liberty Mutual WC
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Old 02-09-2006, 08:36 AM
deppmann deppmann is offline
Join Date: Apr 2005
Posts: 52

My WC company is State Auto Ins. out of Indiana and they had no problem at all paying for my Charite. They did want to speak with the surgeon prior to the approval to get the pros/cons and the difference between ADR and fusion. I'm 7 months post-op and haven't paid 1 penny.

Injured back at work 10/02. Lots of P/T, pool therapy, blocks, multiple epi's for DDD L4-L5 & herniation. Had Charite ADR w/Dr. Montgomery 6/23/05 and am currently living almost pain free! Found DDD at L5/S1 on 12/31/12. Awaiting MRI and options.
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Old 02-09-2006, 03:02 PM
luvmysibe luvmysibe is offline
Senior Member
Join Date: May 2005
Posts: 556

My WC underwriting insurer is Corvel. They covered my ADR after I appealed to the state WC board.
L5/SI Charite
7/18/05 Dr. Howard
"A smile is contagious, be a carrier ."
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Old 02-09-2006, 05:44 PM
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Harrison Harrison is offline
Join Date: Oct 2004
Posts: 6,994

Please note: there are many topics on insurance coverage in this forum. Please search / sift through.

Little angels: if you find them, pls post here...
"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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