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Reply With QuoteBen,
That is awesome news. I am seeing a slight turn around with insurance companies covering ADR. That's great.
Did you have 1 ADR and 1 fusion or both levels ADR?
This is a discussion on Happy Days!!!! Anthem BC/BS, Artificial Disc Replacement (In-Network Reimbursement, Stenum) within the Health Insurance forums, part of the Insurance and Travel Forums category; Anthem Blue Cross/Blue Shield just reimbursed me 100% less my deductible for my 2 level ADR at Stenum in Germany!!!!! ...
Happy Days!!!! Anthem BC/BS, Artificial Disc Replacement (In-Network Reimbursement, Stenum) Anthem Blue Cross/Blue Shield just reimbursed me 100% less my deductible for my 2 level ADR at Stenum in Germany!!!!!Stenum is a BCBS preferred provider so they even considered in-network! WOW!!! I am shocked and thrilled. The key words used are "medical necessity" when you approach your insurance company. Hope for everyone.
Ben
Ben
10/2006 drop foot, discectomy
12/2006 discectomy L4-5
chiropratic, massage, accupuncture since 2006
adr & fusion at Stenum 6/2009
Ben,
That is awesome news. I am seeing a slight turn around with insurance companies covering ADR. That's great.
Did you have 1 ADR and 1 fusion or both levels ADR?
Dave
Diagnosed with DDD in Nov, 2007. MRI, EMG
C3/4 C4/5 C5/6 C6/7
Surgery 06.04.08--C5/6 and C6/7 w/Prodisc
C4/5 deterioration progressing quickly
MRI on lumbar shows disc herniation at L5/S1, stenosis at L3/4, L4/5, spondylosis and DDD at L2 through S1 in July, 2009
Nerve Root, Facet Injections and Epidural every 3 months. Ongoing treatment for continued degeneration.
Awesome news
Alison 46 year old female
2011 Aug PLIF L4/L5 - L5/S1 both adr in situ
2010 May - Discogram on L2/L3 & L3/L4, neither pain generators
2009 May - Failed revision fusion on L5/S1 with Charite ADR in situ
2008 Caudal epidural exacerbated nerve symptoms. Prolapse L2/L3
2007 L5/S1 Facet deterioration
Brilliant 5 years, no pain only minor motor problems and residual nerve damage
2002 March - ADR Charite - L4/5, L5/S1
2000 Disc prolapses L4/5, L5/S1
Congrats !
Ben, congratulations!Talk about a huge victory.
Justin Averna
Founder & President, Spine Patient Society™
www.SpinePatientSociety.org
A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization
I'm here to help.
- 1994: Football Injury, Severe Hyperextension
- 1997: Snow Skiing Injury
- 3/7/1997, 17 years old: Laminotomy L4/L5
- 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
- 11/15/2003, 23 years old: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
- 4/2008: 4.5 years pain-free before "new" leg pain
- 5/14/2009, 29 years old: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
Questions? Suggestions? Need help with registering, creating a signature, etc.?
justin (at) spinepatientsociety.org
Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.
Ben,
Great news!!!!
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* Stenum Hospital (Germany) Maverick disc implanted (10-19-07) L4-L5
* To view my post-op video's click- http://www.youtube.com/ type ADR surgery into the space bar
* Fusion of c5-c6 on (11-02-09) Boston, USAhttp://fusion-c5-c6.blogspot.com/
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That's outstanding Ben!
How are you feeling now that you're bionic?
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 discs at Stenum (www.dr-ritter-lang.com)
11/9/11 C6/7 Herniation with Nerve Impingement. Another journey begins.
That's awesome! My provider did pay for parts of my surgery, even though they denied it pre-surgery and denied my appeal. I think they paid like $8,000 total.
Also, I know Runner is fighting BCBS for her ADR and is needing approval letters. Is there anyway you could contact her and pass on her approval or EOB showing payment so she could use it in her fight? You can black out all your information on it and just leave the rest. I know she would be thrilled to have it.
31 years old-
1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!
Mommy to Emma- 8 years, Ava- 5.5 years & had baby Eli after ADR, via c-section on March 25, 2011, completely pain free still!
2 level adr...no fusion
Ben
10/2006 drop foot, discectomy
12/2006 discectomy L4-5
chiropratic, massage, accupuncture since 2006
adr & fusion at Stenum 6/2009
I feel great now that I am bionic! Still some soreness after I leap over tall buildings, but it gets better every day. This is day 70 post surgery. I would very happy to help by showing my eob to anyone who needs it. Just drop me an email. The Stenum people helped so much in getting the claims process started. Happy Friday to all.
Ben
10/2006 drop foot, discectomy
12/2006 discectomy L4-5
chiropratic, massage, accupuncture since 2006
adr & fusion at Stenum 6/2009
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