Thread: Need Aetna help
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Old 02-25-2009, 08:29 PM
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trkdoc714 trkdoc714 is offline
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Default Aetna

Jason,

Aetna's cover page of THEIR Clinical Policy Bulliten 0591 clearly states that cervical ADR is covered:

II. Aetna considers FDA-approved prosthetic intervertebral discs(e.g. the Prestige Cervical Disc, ProDisc-C Total Disc Replacement) medically necessary for the treatment of skeletally mature persons with cervical degenerative disc disease at one level from C3 to C7, andwho have failed at least six weeks of conservative management.

You can access this on their website Aetna.com to look at their Clinical Policy Bulletins.

Good luck Jason,

Bob
__________________
04/06 L5/S1 Rupture
05/06 MRI shows DDD @ L2-S1
06/06 Diskectomy/ Laminotomy L5/S1
04/07 Recurrent Disc L5/S1
4 Ortho and 1 Neuro Surgeon, 5 MRIs, 1 EGM, 1 Myleogram & 11 EDIs later:
03/27/09 L4/5 & L5/S1 Maverick disc at Stenum
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