armorandswordwilling
New member
Hello. I’m reaching out because I have a problem and I’m not sure how to go about it.
In 2012 I had a Discectomy and everything has been good up until the last year and a half.
The sciatic pain is back, and I can’t do the normal things I used to do in life, like even finishing a work day. I did over of year of PT, and had 2 injections, and was told my next option is surgery since nothing helped.
I had MRI’s, X-rays, meetings with the surgeon, set a surgery date and did all of my pre-op stuff.
Insurance rejected the claim, and the medical director had a peer to peer with my surgeon.
They still rejected it because they won’t cover the spinal area that I already had a surgery done.
My option is out of pocket pay for the surgery, which I just can’t do.
Right now I have them checking to see if a fusion would be covered, because I am desperate.
Do I have any other options to get this covered? I’m in disbelief that i can’t get a procedure covered, just so I can try to live a semi-normal life.
Thanks for any help you can provide.
In 2012 I had a Discectomy and everything has been good up until the last year and a half.
The sciatic pain is back, and I can’t do the normal things I used to do in life, like even finishing a work day. I did over of year of PT, and had 2 injections, and was told my next option is surgery since nothing helped.
I had MRI’s, X-rays, meetings with the surgeon, set a surgery date and did all of my pre-op stuff.
Insurance rejected the claim, and the medical director had a peer to peer with my surgeon.
They still rejected it because they won’t cover the spinal area that I already had a surgery done.
My option is out of pocket pay for the surgery, which I just can’t do.
Right now I have them checking to see if a fusion would be covered, because I am desperate.
Do I have any other options to get this covered? I’m in disbelief that i can’t get a procedure covered, just so I can try to live a semi-normal life.
Thanks for any help you can provide.