May 21, 2013-after a disappointing and frustrating 2 months, where my insurance issued multiple denials and stonewalled any communication, I did get an approval for the lab -ie growing cells at Carticel. We knew someone at the insurance company and that person helped us to talk to administrators. Based on the fact that I already had the first surgery, they approved it. I need the left knee done too-so I hope that we will be able to approve that when I am ready. My husband's office may change insurance companies (he has a say in it because he is a partner in the business)-which might be helpful....My understanding is that this insurance has approved ACI patella surgery through Carticcel and including through my doctor's office. The problem is how difficult they make it to communicate after a denial.
I am cautiously excited to move forward and I have surgery date for June 18. My doctor is not in network and had been approved for both surgeries in network (United Healthcare had approved that easily and quickly-which made it even more surprising when things became difficult with them)because he is the only doctor in my area with experience with ACI surgery (and the PT's who work in the office are trained in rehab for ACI as well). So now it has to be reap proved and I hope that does not have any complications that will change the date again. I hope to be posting in a few weeks about ACI rehab and not about insurance. (:
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