So I just got a letter today from Cigna, and they are denying my SCS implant! They have 2 reasons for this: they state that its not medically necessary for me (oh, like a healthy person would choose an scs) and they state that scs's for the neck is experimental and not covered by them. So ha, good luck fighting that... I am so mad and so discouraged and have no idea what now. The doc team is gonna appeal, but I wonder how that will go since they seem so firm on jow this is not covered by my plan...
Im mostly scared what else can be done for me if I cant get the scs. I have tried EVERYTHING except for a pain pump and Im working 25% at the moment.
Anyone have experience with getting a denial for the scs and then managed to turn it around with appeal? Anyone have any tips on how to handle this? I really would appreciate some help on how to handle tngs from here.
Cause: car accident & genetics
Effect: herniations C4-7, stenosis, osteoarthritis, myelopathy, neuropathy
Non-invasive Treatment: everything under the sun
Invasive Treatment: 2 level ACDF, C5 & C6, May 2012
Moving Forward: SCS