1. Announcement:
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    Justin ‎(Founder / Administrator)
    05-03-2009
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Health Insurance

Below you will find a list of discussions in the Health Insurance forums at the Spine Patient Society Forums. Help one another navigate the rough waters of insurance issues regarding spine surgery, specifically Artificial Disc Replacement. Discuss Approvals/Denials/Appeals, Workers' Compensation, Social Security Disability and Medicaid & Medicare Coverage.

  1.   Sticky Threads  

  2. Announcement Sticky Thread Sticky: Cervical Artificial Disc Replacement Approval Letter (5/15/09): Blue Cross Blue Shield of TX

    Started by Justin‎, 05-26-2009 08:53 PM
    adr, appeal, approval, artificial, artificial disc, artificial disc replacement, blue, blue cross blue shield, cervical, cervical adr, cervical artificial disc, cervical artificial disc replacement, cross, disc, disc replacement, great, information, ion, letter, member, replacement, shield, spine patient society, sps, texas 1 Attachment(s)
    • Replies: 8
    • Views: 4,618
    dyates
    12-14-2010, 01:20 PM Go to last post

  3. Announcement Sticky Thread Sticky: Insurance Companies APPROVING Artificial Disc Replacement (ADR) Surgery

    Started by Justin‎, 05-04-2009 02:24 PM
    adr, approval, approving, artificial, artificial disc, artificial disc replacement, blue, cervical, cervical adr, companies, cover, cross, disc, disc replacement, forum, insurance, level, lumbar, michigan, replacement, successful, surgery, terry, texas, thread
    • Replies: 8
    • Views: 4,480
    lgabrysch
    12-02-2010, 01:06 PM Go to last post

  4. Announcement Sticky Thread Sticky: State by state Insurance Commissioner contact info

    Started by trkdoc714‎, 09-26-2010 03:48 PM
    act, association, commissioner, contact, info, information, insurance, ion, link, national, state, web
    • Replies: 1
    • Views: 1,066
    rsaylor8326
    10-03-2010, 08:59 AM Go to last post

  5. Announcement Sticky Thread Sticky: The Insurance Warrior, Laurie Todd

    Started by Justin‎, 05-07-2009 01:06 PM
    2 Pages •
    1 2
    adr, appeal, approved, artificial disc, artificial disc replacement, blue, companies, disc replacement, fda, great, heal, health, insurance, laurie, laurie todd, patient, patients, replacement, resource, spine, surgery, todd, warrior, win, years
    • Replies: 14
    • Views: 1,789
    Justin
    06-19-2009, 01:33 PM Go to last post

  6. Announcement Sticky Thread Sticky: Lumbar Spinal Fusion Versus Anterior Lumbar Disc Replacement: The Financial Implications

    Started by Justin‎, 06-16-2009 12:51 AM
    anterior, article, artificial disc, artificial disc replacement, blue, case, companies, disc replacement, education, financial, financial implications, forums, fusion, implications, insurance, ion, link, lumbar, lumbar disc, patients, replacement, spinal fusion, spine, sps, versus
    • Replies: 1
    • Views: 964
    Justin
    06-19-2009, 01:09 PM Go to last post

  7.   Normal Threads  

  1. New - Appealing TriCare for cervical arthroplasty and seeking assistance

    Started by wardbro2‎, 02-01-2012 02:54 PM
    active, adr, age, airline, appeal, back, cervical, damage, ddd, doctor, forum, information, ion, loss, medical, meds, muscle, pain, patient, short, significant, surgeon, surgery, time, years
    • Replies: 3
    • Views: 82
    mccauleyjw
    02-02-2012, 04:52 PM Go to last post

  2. CareFirst BlueCross BlueSheild now considering Artificial Disc Replacement as medically necessary

    Started by mccauleyjw‎, 01-24-2012 04:28 PM
    adr, approved, artificial, artificial disc, artificial disc replacement, cervical, cervical adr, cervical artificial disc, connect, disc, disc replacement, discs, fda, good, level, link, medically necessary, news, page, pdf, policy, prodisc, prodisc-c, replacement, step
    • Replies: 5
    • Views: 164
    trkdoc714
    02-02-2012, 07:20 AM Go to last post

  3. BCBS - Florida outlines definition of medical necessity for Cervical Total Disc Replacement (TDR)

    Started by wardbro2‎, 02-01-2012 02:09 PM
    appeal, bryan, cervical, cervical disc, cervical disc replacement, degenerative disc, degenerative disc disease, disc replacement, discogenic, discs, guideline, health, information, ion, lumbar, osteoporosis, pain, physical therapy, posterior, prestige, prodisc, prodisc-c, replacement, total disc replacement, treatment
    • Replies: 1
    • Views: 59
    mccauleyjw
    02-02-2012, 12:34 AM Go to last post

  4. Health Insurance / Aftercare

    Started by ANDREW‎, 01-25-2012 11:40 PM
    adr, care, cervical, cervical adr, coming, follow, follow up, heal, health, health insurance, home, insurance, ions, opinions, problems, x-rays
    • Replies: 5
    • Views: 123
    Justin
    01-29-2012, 01:24 PM Go to last post

  5. Washington DC, Artificial Cervical Disc Replacement not covered by CareFirst BlueCross BlueShield, no assistance offered by doctor.

    Started by mccauleyjw‎, 06-23-2011 03:29 PM
    2 Pages •
    1 2
    anterior, artificial disc, artificial disc replacement, cervical, cervical disc, cervical disc replacement, cervical spine, chiropractic, degeneration, disc replacement, discectomy, discogenic, fusion, heal, health, ion, needed, nerve, pain, prestige, replacement, spine, surgery, testing, treatment
    • Replies: 14
    • Views: 1,186
    laid up doc
    01-05-2012, 10:45 PM Go to last post

  6. Aetna Insurance Denial: treatment of degenerative disc disease with spinal fusion "experimental"

    Started by bigdogchief76‎, 12-10-2010 08:41 PM
    2 Pages •
    1 2
    aetna, appeal, artificial disc, back, charite, degenerative disc, degenerative disc disease, disc replacement, discs, effectiveness, evidence, experimental, fda, fusion, not medically necessary, prodisc, prodisc-l, replacement, sciatica, spinal arthroplasty, spinal fusion, spine patient society, surgery, total disc replacement, x-rays
    • Replies: 11
    • Views: 1,818
    laid up doc
    12-30-2011, 12:00 AM Go to last post

  7. Milliman guidelines, fusion, and ADR

    Started by laid up doc‎, 12-04-2011 05:33 PM
    adr, back, back pain, companies, cost, ddd, device, devices, discogenic, discogenic pain, facet, factors, fda, fusion, fusions, insurance, lumbar, overseas, pain, patients, spine, surgery, time, treatment, years
    • Replies: 0
    • Views: 165
    laid up doc
    12-04-2011, 05:33 PM Go to last post

  8. Happy Days!!!! Anthem BC/BS, Artificial Disc Replacement (In-Network Reimbursement, Stenum)

    Started by Ben‎, 09-03-2009 10:40 AM
    3 Pages •
    1 2 3
    adr, anthem, appeal, artificial, artificial disc, artificial disc replacement, bc or bs, bcbs, ben, blue, care, cathy, claim, congratulations, cross, days, disc, disc replacement, excited, germany, happy, heal, health, hospital, in-network, innetwork, insurance, ions, level, reform, reimbursement, replacement, stenum, surgery, work
    • Replies: 21
    • Views: 3,515
    MargotZ
    12-03-2011, 09:01 AM Go to last post

  9. has anyone had any dealings with disability insurance?

    Started by dentalrebel‎, 10-12-2011 04:50 PM
    disability, insurance, mass, pain, policy, premiums, stand, years
    • Replies: 3
    • Views: 241
    WPKat
    10-16-2011, 07:14 PM Go to last post

  10. BC/BS Appleas Letter for ADR

    Started by petrkr‎, 09-27-2011 05:36 PM
    adr, cover, letter, procedure, stenum
    • Replies: 1
    • Views: 254
    ferndog
    10-03-2011, 01:35 AM Go to last post

  11. Aetna - anyone had out of country ADR or fusion covered??? pay now or appeal forever?

    Started by laid up doc‎, 09-14-2011 11:24 PM
    adr, aetna, appeal, approved, charite, ddd, discogram, facet, fda, feeling, fusion, history, kind, money, pay, paying, prodisc, range, surgeons, talking, testing, tlif, tomorrow, work
    • Replies: 0
    • Views: 184
    laid up doc
    09-14-2011, 11:24 PM Go to last post

  12. Help for patients trying to get a ProDisc-C Total Disc Replacement approved.

    Started by mccauleyjw‎, 08-10-2011 08:35 PM
    appeal, approval, approved, disc replacement, group, insurance, insurance approval, party, patient, patients, process, prodisc, prodisc-c, products, reimbursement, replacement, spine, total, total disc replacement
    • Replies: 1
    • Views: 354
    Justin
    08-21-2011, 10:56 AM Go to last post

  13. Call for those who got Aetna to pay for Stenum

    Started by Corry‎, 06-02-2011 03:23 AM
    adr, aetna, ago, artificial disc replacement, book, call, distance, insurance, laurie, laurie todd, odd, past, pay, people, precedent, search, spine arthroplasty, spine patient society, stenum, things, threads, todd, total disc replacement, world
    • Replies: 0
    • Views: 246
    Corry
    06-02-2011, 03:23 AM Go to last post

  14. Aetna finally sent the last installment

    Started by trkdoc714‎, 04-07-2011 06:41 PM
    adr, appeal, back, cost, day, device, doctor, evidence, failed, fusion, hospital, information, invasive, long, management, medical, mri, questions, range, sending, surgeon, surgery, treatment, visit, work
    • Replies: 9
    • Views: 331
    jss
    04-12-2011, 09:39 AM Go to last post

  15. BCBS-TX - Final update !*@&#^$%!

    Started by jss‎, 03-19-2011 12:09 PM
    2 Pages •
    1 2
    adr, appeal, cervical, combining, cord, cost, decompression, effectiveness, free, happy, information, level, long, outcomes, patients, policy, read, safety, spinal cord, surgery, time, update, work, world, year
    • Replies: 15
    • Views: 761
    lunaazul21
    04-03-2011, 11:37 AM Go to last post
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