04-23-2009, 09:56 PM
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Member
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Join Date: Apr 2009
Location: Charleston, SC
Posts: 97
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Quote:
Originally Posted by treefrog
Yes, I have written off my insurance company. I don't feel like trying to fight them, with a very low likelihood of success. I have BC/BS of NC.
I also have to have 2-levels done (L4/5 and L5/6), and just got my surgery date with Dr. Bertagnoli, for May 26. My boyfriend and I are taking out a loan, to pay for the surgery. I know in this economy, it isn't the best time to try and get a loan. But if there is any way possible for you to financially swing it, it sounds like you should try.
I know I haven't really been living life, only existing. The pain has made it impossible for me to do much, that isn't absolutely necessary.
I hope that you are able to find a way to have surgery, and get rid of the pain, so you can start living again.
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Quote:
Originally Posted by treefrog
When you say that your husband knows of someone for whom BC/BS covered ADR surgery, was it cervical or lumbar? It seems to me that cervical surgeries are covered more easily than lumbar. What I mean is that insurance is unlikely to pay for multi-level lumbar ADR, let alone single level, but may be more inclined to cover multi-level cervical ADR. All in all though, it's very difficult to get them to pay for surgery done in the US, let alone pay for out of country surgery.
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Hers was lumbar, at L5/S1. I am going to try to upload all of the pdf files that I sent that helped me successfully appeal an insurance denial for an ADR procedure. I supposed I should put it under the insurance section...perhaps someone can direct me, since I'm new at this?
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