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Posterior hardware removal

This is a discussion on Posterior hardware removal within the Spinal Fusion (Including Discectomy & Laminectomy Procedures) forums, part of the Spine Surgery Support category; Catherine, From what you're saying on the billing that you've received, your percentage is being paid off the negotiated price ...

  1. #51
    Senior Member
    Join Date
    Jul 2011
    Posts
    157

    Default Re: Posterior hardware removal

    Catherine,

    From what you're saying on the billing that you've received, your percentage is being paid off the negotiated price the doctor/hosptial has with your insurance company. You should receive in the mail some type of Explanation of Benefits (EOB) that explains what was billed, what the insurance company will pay (This amount becomes the total cost as far as your concerned), your copayment (if any), your deductible (if any), and any amount you have to pay (this would be your 30%). All that should add up to the allowed payment. I know for me, when I got my bill all that was listed on the Explanation of Benefits. For me, I thought I was going to have to pay a percentage based on my plan, but it ended up being covered 100%. There must be some obscure clause in my plan that I missed.

    The EOB should make it fairly easy to figure things out. If you're not sure look at the EOB and call your insurance company. They'll be able to answer your questions about billing based on what your policy covers.

    Linda
    1976 - Fell from tree. The beginning!
    1985 - Car accident - pull back muscle.
    1985 - Spring 2010 -Flare ups off and on. Meds manage - Life goes on.
    9/2010 -Pain returns, Diag DDD of the L4/5 & L5/S1 space with arthritis. .
    10/ 2010 - Referral to PM Doctor & PT. PT not helpful. MRI confirms DDD, bulging disc of L4/5space. Pneumonia. Pain off charts!
    11/2010 - 3/ 2011 2 RSNB/2 ESI. Relief short lived . Referred to surgeon.
    6/29/11 -TLIF Fusion of L4/5 space.

  2. #52
    Senior Member Kimberly's Avatar
    Join Date
    Apr 2011
    Location
    Bay Area, California
    Posts
    176

    Default Re: Posterior hardware removal

    Rob,

    How are things going for you?

    Do you still feel relief after having your hardware removed?

    Kimberly
    43 yr. old female with 11 and 13 year old kids.
    10+ years of chronic back pain (Severe R/L leg pain for past year)
    DDD at L3L4, L4L5, L5S1
    Herniations, foraminal stenosis and facet hypertrophy at all 3 levels
    Type II modic changes at L5S1
    Conservative measures not helpful (medication, NSAIDs, injections, PT, massage, chiro, lifestyle and ergonomic modifications)
    Microdiscectomy/Laminotomy (L5S1) 12/10 - Reherniated 6 weeks later.
    2-level fusion (ALIF) (L4-L5, L5-S1) 6/29/11

  3. #53
    Junior Member
    Join Date
    Dec 2011
    Location
    Bloomington, Indiana
    Posts
    6

    Default Re: Posterior hardware removal

    Hi Bob.

    How are you feeling now? I am very interested to see how you feel at this point after the surgery. I had my hardware removal surgery on 11/30. It's still hard to tell if I feel better, but I'm hopeful.

    Please let us know when you have time.

    Heather
    Heather

    • 2006: Severe lower back pain
    • 2007: chiropractic visits and therapy. X rays revealed issues, referred to Neurosurgeon
    • 2008 Discogram, bone scan, MRI, and numerous CT scans
    • 2008- pars defect congenital, Spondylolisthesis grade 2
    • 2008: L5 S1 spinal fusion with Hardware
    • 2008: 18 weeks of Physical Therapy post op
    • 2007-2011: 12 sets of steroid injections
    • 2011: Another bone scan revealed bone loss in Spine. Diagnosed with Osteopenia
    • 2011: Spinal hardware removal surgery on 11/30

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