I have been following this Blog for a while now and it helped understand a lot of things. To be short, i have been suffering from Herniated disk at C5-C6 from past 3 years. I tried physical Therapy of my neck for over an year and then i saw the same doctor and he wasted my money mistreating my condition for shoulder Impingement (Source was my neck and pain radiating down the arm), so tried physical therapy for shoulder. Even though i was mistreated for shoulder, i gained my shoulder strength back which i lost because of the radiating pain down the arm. This happened for 2 years. I was frustrated because of the fact that i am 29 years old and have to deal with the constant pain every day.
I saw three surgeons before I finalized with One. The first two surgeons suggested a Fusion, which i wasn't really comfortable with. I finally saw a surgeon who participated in FDA trails for Mobi-C disk reaplcement and he has very good experience with disk replacements. I Verified my doctor by checking in Mobi-C website, where you can search for surgeons experienced in using the device around your area.
My biggest question was, will Cigna Approve it ? I read in lot of blogs that insurance companies are still denying the disk replacement surgeries in 2015. I was very concerned about the approval process. Somehow Cigna Approved it in my first attempt, is that because of the fact that i have cigna through an employer (i learnt that my company pays all the medical bills of the employees)? I dont know, but there are few things i wanted to share that i did right.
1) Used myCigna website for best place to get the surgery done (btw this is a fantastic tools, you will save a lot of money, so use it) and it suggested me the hospital for best outcome and lower cost. My surgeon was fortunately in the same hospital. This facility has great outcome for orthopedic surgeries according to mycigna.com and cheapest option around my area for Cigna. I don't know if this made them approve my case.
2) When i saw my doctor, i printed out like 200 pages of my medical history (including weekly visits with orthopedics, PT Etc. ) with other hospitals and also gave him all the images that i got from other hospitals. I organized them according to date of visit. My doctor and nurse was surprised to see all the detailed documentation and my nurse told me not to worry about the pre-approval as i had fantastic documentation. During pre approval my nurse sent all those 200 pages including medical images and reports with pre authorization request.
3) Called Cigna every day after the authorization process started to know the status of the approval (I am little impatient, this may not work out for others)
After 6 working days, cigna approved my surgery and is scheduled on Dec 22nd 2015. I will share the outcome once my surgery is done. I must thank Cigna for this. I hope this helps.
Raj****************************************************************************************************** Welcome to Spine-Health
One of the most important things that members can do is to provide the rest of the community with as much information about themselves as possible. It is so very difficult for anyone to respond when we do not have enough information to go on. This is not meant to indicate that you are doing anything wrong or violated any rule, we are just trying to be pro-active and get the information upfront so that people can start responding and your thread is more effective.
So many times we read about members who have different tests and they all come back negative. The more clues and information you provide, the better chances in finding out what is wrong, The fact that your test results are negative does not mean that you are fine and without any concerns. Many times it takes several diagnostic tests and procedures to isolate a specific condition.
Here are some questions that you should answer:
- When did this first start?
. Year, Your age, etc
- Was it the result of an accident or trauma?
- Are there others in your family with similar medication conditions?
- What doctors have you seen? (Orthopedic, Neurosurgeon, Spine Specialist, etc)
. Which doctor did you start with? Ie Primary Care Physician
. Who are you currently seeing?
- What Conservative treatments have you had? Which ones?
. Physical Therapy
. Ultrasound / Tens unit
. Spinal Injections
. Massage Therapy
- What diagnostic tests have you had? And their results (MRI, CTScan, XRay, EMG, etc)
. Summarize the results, please do not post all details, we cannot analyze them
. How many different tests have you had over the years? Similar results?
- What medications are you currently using? (details, dosage, frequency, etc)
. Name of Medication
. How long have you been using this?
- Has surgery been discussed as an option? (If so, what kind)
- Is there any nerve pain/damage associated?
- What is your doctor’s action plan for treating you?
Providing answers to questions like this will give the member community here a better understanding
of your situation and make it easier to respond.
Please take a look at our forum rules: Forum Rules
I also strongly suggest that you take a look at our FAQ (Frequently Asked Questions) which can be found at the top of the forum menu tab or by going to FAQ
There you will find much information that will
- Help you better utilize the Spine-Health system
- Provide pointers on how to make your threads / posts
- Tips on how to create your avatar (your picture), posting images, etc
- General pieces of valuable information
Please remember that no one at Spine-Health is a formally trained medical professional.
Everything that is posted here is based on personal experiences and perhaps additional research.
As such, no member is permitted to provide
- Analysis or interpretation of any diagnostic test (ie MRI, CTscan, Xray, etc)
- Medical advice of any kind
- Recommendations in terms of Medications, Treatments, Exercises, etc
What could be good for someone could spell disaster for another.
You should also consult your doctor to better understand your condition and the do’s and don’t’s.
It is very important that new members (or even seasoned members) provide others with details about their condition(s). It is virtually impossible to help another member when all the details we have areI’ve had this for years, it hurts, I cant move my shoulder – what could this be, what treatment should I get?
Diagnosing spinal problems can be very difficult. In many ways it’s like a game of clue. Especially, when the diagnostic tests come back negative – no trouble found! Then it’s up to the patient and the doctor to start digging deeper. The doctor is like a detective. They need clues to help them move along. So, you as the patient need to provide the doctor with all sorts of clues. That is like it is here. Without having information about a condition, its impossible for anyone here to try to help.Specific comments :Personal Opinion, not medical advice :
--- Ron DiLauro, Spine-Health System Moderator : 11/30/15 18:21 est