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Insurance cutting medication
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| iSpine Discuss Insurance cutting medication in the Main forums forums; I have been stuck in a pre cert nightmare with Aetna. I have needed this medication since April, part of ... |
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09-26-2012, 11:59 PM
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I have been stuck in a pre cert nightmare with Aetna. I have needed this medication since April, part of the problem is the girl at the doctors office, but Atena is bad too.
I think that is just crazy. For my plan it takes 15 business days if all goes well , what are you supposed to do in the meantime. buy them for a fortune on the street? I guess you can buy them yourself with a prescription, but they are not cheap. It cost me $50 for 20 pills recently 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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09-27-2012, 02:39 PM
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My pm doctor's staff is pretty good , so I am hoping everything runs smoothly.
I do have around a months supply extra from days when I feel ok , so hopefully that will hold me over if needed. Then Yesterday I received paperwork from my employer that they are looking into changing our insurance. So who knows where I will end up.
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2004 L5-S1 Microdiscectomy 2008 L5-S1 fusion stalif device 2009 new pain no diagnosis 2010 fusion exploration 2011 diagnosed bilateral piriformis syndrome currently in pain all the time with little relief. Looking for the Dr who can treat me.
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09-27-2012, 03:02 PM
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I hope your insurance change is for the better! If my pre cert gets approved for my medication on Oct 15th it will have been 6 months since the doctor prescribed it. No one needs to go through that nightmare. They also tell me it is a nurse at Aetna that makes the decision. My double PHD doctor prescribes it and a nurse denied it.!! Insurance companies have way too much power.
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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10-01-2012, 11:24 AM
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I was able to detox myself off the opiates. I went from 15mg. to 7.5mg to 4mg then zero. The withdrawals weren't bad at all compared to my pain level. It went from 7/10 to 9/10. I dont see how they can put me in a detox if Im off the opiates but now Im suffering terribly. I'm using my TENS and hydrocollator but cant use them forever. I need a pain manager not an addiction doctor. Addicts dont go from 90mg. to 15mg. for months and then detox themselves. (maybe they can I dunno) but I doubt any detox would take me now. Liberty Mutual should pay for every minute of my discomfort since their client ruined my life. (As I lay here in awful pain trying to prove a point to my lawyer,judge,LibertyMutual lawyer etc...) How stupid has pain management got??????WoW!!!
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 12/16/03 Work AccidentHerniation 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)  11/25/08 L5-S1 fusion with Dr. Goldstein FAILED BACK SYNDROME Liberty Mutual WC
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10-01-2012, 06:43 PM
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Eddie G,
You certainly got off those meds pretty quickly. I do understand your severe pain and have been there myself. With little pain relief, I might add, but not with none. I don't know how you do this. I couldn't sleep at all when my pain was severe for 5 weeks . I have had other severe times, but reasonable amounts of pain relief or at least a doctor trying hard to relieve it. I sure hope you can get a good doctor who cares and can help you. I am being referred to a new pain management doctor and will see him in 2 weeks. I hope he is better than my last one. 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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