3 herniated disks.. BCBS wants to pay for 2 fusions
I have been living with this for years and finally had enough with the pain. Its got much worse in the last few months. I get a persistent burning and aching in my right side abdomen. One surgeon thought it was muscular. I just had a discogram done to see how many discs were causing the pain. They injected the die into 4 of my disks in my lower back. 2 came back with pain. L5/S1 is bone on bone :--( I have tried everything for pain(epidurals, physical therapy, chiropractors, meds, acupuncture.)
Anyways my surgeon wants to do a fusion on the L5/S1 and wants to do a replacement on the disk above L5/S1. But BCBS want to only cover 2 fusions. I dont want 2 fusions if I dont need the other fusion. The surgeon also said that the cost is comparable on the fusion. I wend to 3 different surgeons the last few years. I also see a pain management Dr. I take 10/325 percoset 1-2 times a day.
Is there something I can do to get the insurance company to pay? I called my local union office to see if they can help. I should hear back from them in a few days. I have Blue Cross Blue Shield EMHP.
thanks sorry if I rambled on.