Go Back   ISPINE.ORG Forum > Main forums > Insurance Issues
FAQ Members List Calendar Today's Posts

Insurance Issues Discuss List of Insurers Approving ADR Surgery in the Main forums forums; My surgeon and I had to appeal my case twice before getting approval. I had 3 level (Prodisc C). Insurance ...

 
 
LinkBack Thread Tools Display Modes
Prev Previous Post   Next Post Next
  #2 (permalink)  
Old 02-03-2009, 02:58 AM
Member
 
Join Date: Oct 2007
Posts: 35
Default First Choice Health in Washington State

My surgeon and I had to appeal my case twice before getting approval. I had 3 level (Prodisc C). Insurance agreed to pay for hospital, surgeon and one implant. We are still negotiating who is going to pay for 2 of the implants. Dr. Jens Chapman from University of Washington Medical Center was amazingly helpful. He wrote letters of appeal on my behalf and encouraged me to not give up. I came close to going to Germany and/or paying for the surgery myself here in the U.S. Either of those choices would have meant cashing in our retirement or refinancing our home. It took a lot of time and energy to get the insurance company to agree to pay for anything. I felt like I had a second job! I talked to and emailed my H.R. department, staff attorneys with the attorney general's office, and anyone else I thought might be able to help me. In the end it paid off, but there were many months that it seemed like my efforts were futile.
__________________
Melody
12/29/08- 3 level ADR Prodisc C in Seattle
12/21/07-Revision surgery, fusion L4/5 L5-S1
1975-scoliosis surgery,Harrington Rods, fused T2 to L4
Felt great in 20's and 30's....late 30's started having chronic neck and lower back pain. By 40 pain worsened enough to begin seeking surgical solutions.

ADR surgery much easier recovery than fusion!
This site has been a great source of information for me! I would be happy to help anyone who has questions.
Reply With Quote
 

Bookmarks


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
Trackbacks are On
Pingbacks are On
Refbacks are On



All times are GMT. The time now is 03:27 AM.


Powered by vBulletin® Version 3.7.2
Copyright ©2000 - 2026, Jelsoft Enterprises Ltd.