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Disc Replacement Surgery

AnonymousUserAAnonymousUser Posts: 49,731
edited 06/11/2012 - 8:26 AM in Lower Back Pain
I am 26 years old and am having surgery on January 21, 2009. I have a "bad" disc at L4-5 that is just getting worse and will not get any better. I have had this pain off and on for my whole life but over the past 3 years it has become constant and there is no way I can continue to live like this. I have been through physical therapy, chiropractic, massage therapy, and nothing has worked so surgery is now the next step. My doctor thinks I am a very good candidate for the disc replacement becuase of my age. Has anyone else had this surgery and if so did you have a battle with your health insurance. My spine surgeon said that a lot of insurance companies do not approve the disc replacement surgery and they are calling today to find out if my health insurance will cover it. If they do not then I am going to have to have a fusion done. Any input?
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Comments

  • I was supposed to have a disc replacement L5/S1, however after over 3 months of apealling the insurance company and going to the NYS Insurance Dept, I finally gave in and had a fusion. I suggest you follow through to see if you can get this approved as far up the chain as you can. If you have a surgeon who is experienced and highly recommended in this surgery then in my opinion, you should follow through rather than fusion. I wish I could've had replacement instead of fusion. I've heard that in the long run it is better since fusions have been known to cause more stress on your healthy discs which can wear out over time therefore you may need additional surgery in 5-15 years.

    This is just my opinion and I am not a medical professional by any means.

    I wish you the best of luck when dealing with your insurance. It depends on what state you are in and what insurance company you have. I beleive BCBS has yet to approve this surgery.
  • Thank you very much! I have Coventry and am hoping they will approve it or at least go on a case by case basis so I can fight it. Luckily my surgeon is willing to fight it too. He said if they flat out say no, then he will contact the medical director for coventry to see if he can get it approved that way. So lets hope!!!
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