My Doctor has recommened I get pro disc C surgery at two levels. This after many years of pain and other treatments.
He sent a request for approval to my insurance company Anthem/Blue Cross of California (now don't laugh). They denied the surgey saying it is experimental. I filed all the appeals and got their standard denial form letters back. Has anyone else had this issue with them? If so did you over come it. Their own policy says if the FDA has approved something they can not call it experimental, but yet they do as they please. Any help on how to get them to approve the pro disc c surgery would be great. I will continue to live with the pain before I get the fusion surgery, of course that is what they are probably hoping for???
Comments
Thanks for your response and for the info on Laurie Todd. I went to her web site and will follow-up with her suggestions/process for an appeal.
JH
ouch
Doctors name and contact details removed by forum Moderator (paulgla). We do not permit publishing specific doctor's or institution names and contact details.
ouch
WOW WOW WOW