Hi all, this is my first post. I am on the computer late at night while my husband is drifting off to sleep. My spine surgeon's office has received notification that my 2 level cervical disc replacement surgery was denied by Aetna. My peer review was also denied. Their basis is that anything more than a 1 level replacement is "investigational".
I contacted the Mobi-C Advocacy group. Since my pain level is so incredibly bad, I have requested a letter from my surgeon's office to request Aetna expedite my appeal. The numbness in my had is increasing. Should know by the end of the week if my surgeon can get me that letter.
In the meantime, which could be months, I am very concerned over what I should do about my pain level. I feel like someone is torturing me with hand tools on my neck, it is truly awful. I am on a lot of meds at this point because it has been quite awhile now that I have been dealing with this. I am frustrated. I feel like nothing is really helping me anymore.
I don't know what to do about the pain level, as my doctor feels that the 10mg of Norco twice a day is too much for me (I agree but don't know what else I can do), so he reduced me to 45 a month. I take Gabapentin and Soma. I asked him about anti-depressants or any other type of medication I could use instead of these because these are not working, and he told me that other meds can cause brain damage. I realized after the appointment that he probably thought I was just trying to get stronger meds (which is not the case-actually was trying to find something that was just different).
Has anyone had experience with expediting an appeal with Aetna? I am only 30 years old and am too young to have this problem, it's the result of an injury. What do any of you do when the pain meds, stretching, exercise, etc are just not working anymore? How would you handle a doctor who was concerned about your requests? I don't know what to do, the pain is killing me and I am afraid of how long the appeal process can take. I know you are all going through the same problems so I was hoping someone had some kind of advice.