I am in the midst of a WC nightmare. I need fusion at L3-4-5 and a laminectomy. WC has authorized the laminectomy and fusion at L4-5 but not L3-4. Their guidelines require a slip to be 4mm to qualify for fusion and in March mine was 3.5 mm. My Spondylolisthesis was diagnosed in January, my doc requested treatment in April and it was denied then appealed 3 times. I had to lawyer up in June. I was injured in my preschool classroom 7 years ago and have had a laminectomy and 2 hip bursectomies since. I was not able to begin the school year and will need 3 months after surgery before I can go back to work.
Looking through my very large WC file I realized that WC has always denied surgery and has always made me wait and jump through very high hoops before authorizing anything besides office visits and even those sometimes, like PT and psychiatry. I understand they are all about the bottom line and it's not personal. It is crazy wrong, however, and so demeaning, insulting and FRUSTRATING to be at their mercy.
I want my life back. I am very very close to telling WC to xxxx and use my private insurance. Has anyone here done that? My lawyer doesn't want me to - she says that is precisely why they drag things out. I don't care. I surrender.
Post Edited for Inappropriate Language Liz (moderator)