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Sorry if this is the wrong board. I am waiting for my insurance to approve my surgery. I never have heard of surgeries being denied so now I am worrying about this. Insurance co wanted a medical necessity report and they were faxed one today.

My nuerosurgeon is going to do a fusion and a laminectomy. As you all know the pain of it I need not tell you,

So here are a couple of questions that if anybody could help me with I sure would appreciate it

Does everybody elses pain comes and goes? My pain went away for a bit a couple of weeks ago and then came back strong after I bent over to tie my shoe. My pain is manageable right now. I wonder if others had it come and go like that?

Insurance: My question here is I am waiting for approval and my surgery is the 23rd. I called them and they said they were waiting for my doctor to give them a medical necessity paper. I called my doc, they had sent it once but sent it again.
Has anyone had their surgery denied? I sure hope not as my work has already approved my time off for this .

So here it is I am having anxiety over whether the insurance will pay or not? And if the severe pain has gone for good or will it come back as i still have pain its just not to the point I want to chop my leg off lol I still have pain when I start to do things I have a feeling it would since the MRI showed all that was wrong.

Any info or help would be so nice thank you


  • You did not mention which levels
  • LizLiz Posts: 7,832
    I am sure that you will find your time on Spine-Health very rewarding. This site is a powerful and integrated system that is dynamic and continues to grow.
    Here are just some of the highlights:

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    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • There have been members post their insurance companies denials on SP for others to see. So it does happen. The question now is though "how does the Affordable Care Act effect approving or disapproving procedures"? I can tell you from reading parts of it that healthcare you receive will be determined by your age.

    For example, if you get cancer after you turn 75, you will not be approved for treatment under your plan or Medicare. You will have met your life expectancy. Another nugget of info is that once you hit retirement age, the Federal Government gets access to YOUR bank accounts and automatically deducts payment for whatever treatment you receive.

    I would ask the doctor on your next visit if the ACA could be a factor in getting approval for the procedure. I would also add that you should keep an open mind regarding recovery. There is a good chance that you will not be 100% pain free after the surgery. Surgeons are attempting to help relieve your pain, but they will not tell you that you're going to have 100% relief. Afterwards, you may still have some residual pain that is event specific. In other words, it doesn't hurt or bother you unless you do a specific bend or twist.

    Take each day one at a time and follow your docs orders and hopefully you will feel much better afterwards!

    Several Epidurals, L4-S1 360 ALIF, Numerous Facet Joint Injections, RFA x2
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