Getting 2nd opinions

My adult son is struggling with a multitude of issues with his back including herniated discs, stenosis and bone spurs. The primary symptoms are worsening neuropathy in both feet and calves along with pain and sleeplessness.

The insurance company has forced him to go through the standard progression starting with physical therapy which has been ineffective. Next they insist he get an epidural steroid injection before they’ll agree to possible surgery. His current doctor says she’s had no luck arguing with this insurance company and suggests he agree to try the steroid injection.

My question is will my son have any luck (and reimbursement) if he pursues a 2nd opinion? I frequently see people recommending 2nd and even 3rd opinions but no one ever mentions how these are paid for. I know he is scared and discouraged and simply wants to “get something done” but I’d love to encourage him to explore all his options. I’m going to keep my mouth shut if pursuing other opinions is likely going to be out of pocket for him.

For what it’s worth I had a synovial cyst removed from L5-S1 just last December. I was in so much pain that I was unwilling to wait while trying to get a 2nd opinion. Fortunately my surgery was successful and I’m on the path to recovery. I think my son sees my results and simply wants the same. I don’t blame him.