Hello!
Nice to hear from you!
Sorry about your ankle!
Yes, we have appealed a couple of times.
They say my MRI doesn't look so bad and apparently they don't know anything about the bone-growth and it's possible complications.
They say I need to complete PT before they will consider it.
I tried it once and I had to give up because I was in more pain than when I started. They told me they were doing the least amount they could, already.
But, I'm trying again in a new place.
I really have no expectations, I'm just doing what they say in order to be able to try for the surgery, again.
I am half-way through and it is a waste of time, but I'll do as they say.
I know my surgeon is very upset.
He was going to do a face-to-face, one-on-one appeal, but the insurance company said they did not have a neurosurgeon for the discussion.
So, my surgeon refused to waste his time.
I really don't blame him.
I have 3 more sessions to go with PT, then we'll see what the insurance says this time.
In the scheme of things, my insurance company is not as bad as some.
I've only had one other incident with them.
When it was suspected that I had lung cancer, they insurance company rejected a pet scan, they wanted the doctor to do a biopsy.
Imagine that, they would rather pay for the use of an operating room, an anesthesiologist and have something intrusive done.
The doctor did fight with the insurance company and did get the PET scan approved.
Oh well, and so it goes......
Best wishes!
Ronnie