Hello everyone. I was assaulted outside of a department store 18 months ago which injured my 4 lower spinal discs. I have made progress, considering that I couldn't move for the first 4 months without sobbing in pain. I used to be a very active woman who played sports and worked as an RN before the injury. With the help of my PCP, we finally found some medications that helped me function again. By function I mean: walk, cook light meals and attend water therapy. In the beginning, I was seeing a wonderful Chiropractor 3 times a week who helped me with exercises, nutrition and adjustments. By September, I only needed bi-weekly appointments. I also pay out of pocket for massages with a certified Neuromuscular Massage Therapist 6 times a month and recieve acuputure 2-4 times a month (also out of pocket). Out of the blue, a denial letter came on December 6th, 2011 which stated that "...as of July 17, 2011, your chiro treatment does meet the criteria as medically necessary, therefore you are financially responsible for any treatments after July 17. The bill was over $3,000! I appealed it of course, but despite a letter of neccessity from my PCP who also stated that I needed increasing pain medication without chiro treatment and notes from my LMT indicating that I benefit from the treatments after massage, Aetna has refused to pay. I sent 28 pages of documentation and medical studies, and questioned them WHY did they wait 5 months AFTER I recieved the treatment to deny my coverage? I thought that the new year would allow me to resume my visits, but they have refused that as well. I am so tired of having to fight for every single benefit. I am re-appealing but am not feeling very optimistic. Any ideas would be greatly appreciated. TY. BTW - I am trying to avoid having back surgery which would, at best, offer pain relief for a maximum of 2 yrs (Radiofrequency innervation). It stuns me that Aetna would approve an $18,000 surgery that only has an 18-32% success rate!