|
|
|||||||
| 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. |
 |
|
|
Thread Tools |
|
#1
02-08-2006, 08:17 PM
|
|||
|
|||
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 
|
|
#2
02-08-2006, 09:53 PM
|
|||
|
|||
|
kristi,
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
__________________
Paulette 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 http://prodisc2.blogspot.com/ You are my Rock God in you I can do anything
|
|
#3
02-09-2006, 08:32 AM
|
||||
|
||||
|
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 FAILED BACK SYNDROME Liberty Mutual WC
|
|
#4
02-09-2006, 08:36 AM
|
|||
|
|||
|
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.
John
__________________
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.
|
|
#5
02-09-2006, 03:02 PM
|
|||
|
|||
|
My WC underwriting insurer is Corvel. They covered my ADR after I appealed to the state WC board.
__________________
Crystal L5/SI Charite 7/18/05 Dr. Howard http://www.myspace.com/luvmysibe http://www.xanga.com/luvmysibe "A smile is contagious, be a carrier  ."
|
|
#6
02-09-2006, 05:44 PM
|
||||
|
||||
|
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) 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
|
|
| Bookmarks |
| Thread Tools | |
|
|
Similar Threads
|
||||
| Thread | Thread Starter | Forum | Replies | Last Post |
| Anyone approved by UHC? | Paul | Insurance Hell | 21 | 05-13-2011 12:04 AM |
| Insurance approved ProDisc-C!! | mgs32 | Insurance Hell | 9 | 08-05-2008 06:05 PM |
| BC APPROVED!!!!!!!!!!!!!!! | Laura C | Insurance Hell | 40 | 07-19-2008 07:19 PM |
| Anyone get 2 level cervical ADR approved in US? Anyone have PHCS for insurance? | mgs32 | Insurance Hell | 5 | 11-24-2007 11:33 AM |
