I am 42 and have DDd. I also have two herniated discs. I have tried all different injections none of them last. After 5 years of this my doctor and I decided on spinal fusion, two tier because by next disc is well on its way to being gone also. I went through all the per testing, back and forth to manhattan (I live on Long Island) and the insurance company denied me two days before the surgery. My doctor did a peer to peer and they denied it again. Then he wrote a letter containing information on previous patients it had worked for, cited artcles and other info, they denied it again, I did a another appeal and it was denied again. I have spent every day crying my eyes out. I wanted to do an external appeal with NYS and was told that I couldn't because I did not work for the state. I was told by the insurance company there was nothing else I can do. The pain medicine they switched me to seems to help but I don't want to take pain mess forever. Does anyone know of anything else I can do. I just want a chance to stand up straight and be able to move again without the pain.