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Insurance won't cover lumbar fusion
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| Insurance Issues Discuss Insurance won't cover lumbar fusion in the Main forums forums; Hi, I agree with your comments. Maybe someone out there would help me with a question I am concerned over. ... |
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04-05-2013, 01:26 AM
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Hi,
I agree with your comments. Maybe someone out there would help me with a question I am concerned over. I had a one level ADR implanted in Bangkok, Thailand in 2005 at Bumrungrad Hospital. Dr Nanthandej never told me he had no idea how to implant this device ( Pro Disc C C5-6). The implant was placed under sized and is too far ventral and subsiding according to Dr. B in Germany. I sent films to Dr. Demakas in Spokane who was trained I believe by Dr. Ritter- Lang and he agreed. it is auto fused and it has to be removed. I do not want a fusion. I am now being told that a revision arthroplasty, even with another Pro Disc is not covered. Does anyone know the truth about this.? 
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04-10-2013, 05:25 AM
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Roz, a single level fusion is a good surgery with good results. While that is not what we want when we go for ADR, considering the cervical revision and fusion (especially at one level) is so much easier to entertain than lumbar revisions or fusions.
Good luck! Mark
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1997 MVA 2000 L4-5 Microdiscectomy/laminotomy 2001 L5-S1 Micro-d/lami 2002 L4-S1 Charite' ADR - SUCCESS! 2009 C3-C4, C5-C6-C7, T1-T2 ProDisc-C Nova Summer 2009, more bad thoracic discs! Life After Surgery Website President: Global Patient Network, Inc. Founder: www.iSpine.org
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06-17-2013, 02:56 AM
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I now have a lawyer who works with a foundation sending in an appeal for me for the growth hormone i have been denied for a year. As an adult the growth hormone helps with bone hardening. As a child we all know it provides growth up. I have had so many spinal fractures, do not have osteoperosis and can only point to this hormone , which i am very deficient in. Yet Aetna can't see the big picture.
It was submitted last week, so now they will take their sweet time. The next step is with the state and an independent doctor. Judy
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2007 ACDF 4-7 2008 hip , knee scope, hip replacement 2009 thoracic T-5 thru T-11fusion 2009 VATS T7-8, posterior only T11-12. removal of thoracic hard wear 2010 lung surgery 2010 T2-L2 kyphosis correction 2010 Kyphoplasty T-3, T-4 2011 Cervical osteotomy ,revision C4-T5 2011 Foot surgery 2011 Revision fusion T7 thru L4/laminectomy 2012 Hammertoe correction left foot 2012 Revision fusion T-12 thru L5 2012 Revision fusion L4-L5
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