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| Insurance Hell This is where any insurance-related matters are found. Medicare, worker's compensation, appeals, denials are here. Questions, comments, insights, wins and losses on any insurance are all here! Note: This is a new forum and includes posts for 2007 only. Older ones are in the Big File. |
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#1
08-06-2008, 03:43 PM
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Well I just got the call 30 minutes ago and have not been able to stop crying/laughing long enough to call family or friends to tell them CIGNA approved my Prestige Cervicle ADR. I did however want all the wonderful people who have helped me here and those still fighting to know that it is possible to take down the big guy with a little sling shot!
For now I am going to live in the moment and go streak around the neighborhood naked or something celebratory!!! Just kidding....For those interested and those that think my account can help you in anyway...well I am here to tell you "I will give any of you my name, insurance company and dates of appeal/surgery etc...If you need it to say HEY CIGNA-You paid for her surgery, now what about mine!!!"I am here! I am too high strung at the moment to type the tale up but I will write up an account of exactly what I did and the steps that lead to this DENIAL OVERTURN (geeze I love those words). I know I am one of the uncommonly fortunate ones and I feel so blessed . I pray-pray-pray for those of you on the brink of hopelessness cause I been there! So have some hope.... Today started off as a different day now that I look back over it....I took time for myself today....let the worries of everything and the gravity of my situation go for the day. While indulging in a "just me" day, I visited the diary of a musician I like very much and came across these words as he reflected on the 5th anniversary of his Mothers passing "Take a moment to count your blessings. Remind yourself that life is short. Take a deep breath and allow the petty stuff to disintegrate into dust and blow away. It's all gonna work out." ~Maynard James Keenan~ I just bawled my eyes out after reading that....and I felt much better.(One who rarely cries) The stress of fighting what seems like a hopeless battle suffocates you and you do not realize how much you have been keeping a lid on your frustrations untill you have a good cry and a nice deep breath. Good health to all and I will fill you in soon on the details . Janey
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*c/6-c/7 herniated disc /pinching nerve causing extreme and radiating pain in back-neck and nubness in left arm and compressing spinal cord from 13mm to 6 mm- cervical steriod injections-physical therapy-lots of meds-* CIGNA insurance revoked my F 
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#2
08-06-2008, 03:49 PM
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Wow Janey, congrats!
 This has gotta feel great.MJK is the man... quoting him made your post the best in recent memory. -Justin
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-Justin 1994 Football Injury 1997 Snow Skiing Injury -- National Ski Patrol Laminotomy L4/L5 (3.7.97--17 years old) 1999 & 2003 MVA (not at fault both times) Grade V Tears L4/L5 & L5/L6 2-Level ProDisc L4/L5 & L5/L6* *lumbosacral transitional vertebra (11.15.03--23 years old) Dr. Rudolf Bertagnoli -- http://pro-spine.com Pain-free for the last 4.5 yrs.
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#3
08-06-2008, 05:37 PM
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Way to go, Janey!
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"Harrison" info (at) adrsupport.org Founder & Moderator of ADRSupport & APF Arthroplasty Patient Foundation, a 501 (c)(3) Reborn June 25th, 2004, L5-S1 ADR Charite in Boston Fell on my ***winter 2003, Canceled fusion April 6 2004 Cell: 617-314-5900
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#4
08-06-2008, 06:00 PM
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Congratulations Janey.
From one whose been there. Terry Newton
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1980 ruptured L4-L5 1988 ruptured SI-L5 1990 ruptured C5-C6 1994 ruptured C6-C7 1995 Hemi-Laminectomy C5-C6, C6-C7 Mayo Clinic Bicycle Accident 2004 MRI, EMG, Facet Injections, Epidural Blocks, Lumbar Discogram. Stenum Hospital Surgery November 4, 2006 Prestige Disc C5-C6, C6-C7 Maverick Disc S1-L5, L4-L5
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#5
08-06-2008, 06:07 PM
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It's so great to read about someone being successful! Gives the rest of us hope! Congrats and can't wait to hear the whole story.
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Angie ADR Candidate, DDD C5-C6. C6-C7, bone spurs, impingement (doc says neck replacement would help but...)
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#6
08-06-2008, 07:56 PM
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Congrats! It's awesome to see someone squeak out a victory against these darned stubborn and unfeeling insurance companies.
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************************* 27 yrs old Lumbar herniation L5/S1 - Did mild PT, some chiropractics and self regulated pain management since initial sports injury in Spring 1997. - XRay and Bone Scan Jan/Feb 2007 - PT March to May 2007 - MRI Jan 2008 - Disco positive at L5/S1 Feb 2008 - ADR surgery at L5/S1 on June 23rd 2008 - Prodisc - Recovery - so far so good! *************************
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#7
08-07-2008, 03:53 AM
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Fantastic news Janey. Chalk one up for our team.
Good Luck on you surgery.
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Dave Diagnosed with DDD in Nov, 2007. MRI, EMG C3/4 C4/5 C5/6 C6/7 Approved for 1 level Prodisc, opted for two. Surgery 06.04.08--C5/6 and C6/7 was a success. Patiently waiting for FDA approval on multi-level for C3/4 -C4/5
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#8
08-08-2008, 12:48 PM
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Congrats Janey! That has to be such a great feeling after the big battle!!
Lisa
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Aug 2007 - diagnosed with DDD at C5-6 - herniated disk with mild stenosis at right/central of cord - but pain/occasional numbness mostly on the left side - and down into the leg/foot - which has puzzled doctors - even had a lumbar puncture - but thankfully all clear! May 2008- after many months of no symptoms and issues- flare up- and new MRI shows moderate stenosis. L4-5 small annular tear with some DD Big fan of massages and acupuncture to help with muscle tightness/pain.
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