UnitedHealthcare’s New Positive Medical Policy in Favor of Lumbar Total Disc Replacement Reconfirms the Procedure’s Long-Term Effectiveness and Value for the Treatment of Degenerative Disc Disease
"I like to think my case was part of the change," said recent activL® Artificial Disc patient and UnitedHealthcare customer
Guthrie gained access to the activL Artificial Disc by leveraging her external review rights as afforded to her by the Affordable Care Act. By exercising her rights to the external review process, UnitedHealthcare had to send her case to an independent third party to determine if her case was medically necessary. Stakeholders believe that cases like Guthrie's were an essential factor in UnitedHealthcare's decision to overturn their negative policy.
"We are thankful for patients like
"We invested in a comprehensive evidence development and payer policy strategy at Aesculap because we know how strong our long-term activL Artificial Disc outcomes are. We saw the unmet need, and we wanted to focus our resources on important initiatives like helping patients with Degenerative Disc Disease," said
This announcement comes weeks after the US Military's TRICARE health plan also announced coverage and after numerous BlueCross BlueShield plans have decided to cover. The remaining patients with non-covering health plans include primarily a few BlueCross BlueShield plans, as well as Aetna, a large national insurer which had a positive coverage policy for Lumbar TDR and dissolved it as part of a merger with a different plan in 2012.
The activL Artificial Disc is a third generation motion preservation device designed to more closely mimic the natural biomechanics of the healthy human spine, thereby significantly reducing the impact on adjacent level anatomy. The five-year clinical outcomes were recently presented at the
If you are a Degenerative Disc Disease sufferer interested in understanding your spinal fusion alternative options or if you need help navigating the Lumbar TDR insurance landscape, visit https://www.soactivesofast.com/low-back/activl-artificial-disc or call 1-844-245-1140.
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