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a 'simple' insurance question...

This is a discussion on a 'simple' insurance question... within the Health Insurance forums, part of the Insurance and Travel Forums category; Hi All, Okay, first the facts: I know I have 2 shot discs that will be replaced. I 'could' come ...

  1. #1
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    Post a 'simple' insurance question...

    Hi All,
    Okay, first the facts:
    I know I have 2 shot discs that will be replaced.
    I 'could' come up with the $$$ if necessary.
    My I am changing from United Hell Care to HealthNet in January.
    My local doc says that in California HealthNet has approved ADR.

    From an appeals process, I assume it makes sense to do the surgery after the change, and not before, but want to make sure ... frankly I'm really wanting to make some plans and get this mess fixed yesterday.

    Thanks
    Dave

  2. #2
    Founder / Administrator Justin's Avatar
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    Hi Dave,

    It looks like you made a decision: you're headed to Stenum for the M6 Artificial Disc Replacement device.

    Will you be going through HealthNet for reimbursement? (If you want to talk about this via private message, I completely understand.) My Dad has United Healthcare.

    Best of luck.

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization

    • 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
    I'm here to help.
    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.

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