Guest guest Posted January 6, 2004 Report Share Posted January 6, 2004 I have developmental dysplasia that is is severe in the right hip and am need of surgery. I have researched THR and resurfacing, as well as visited with three OS, one of whom is Dr. Amstutz who is doing the clinical trial for resurfacing in LA. The hip resurfacing makes more sense to me than THR but my insurance most likely won't pay. I am 46 year old female. I read Peggy Gariel's book on resurfacing and wonder if anyone has recently gone to Belgium for the surgery, what their experience and approximate cost was? They say now that the mobility is great with the metal-on-metal THR and the main reason to do resurfacing is bone conservation. Thoughts are appreciated. Lynda in Colorado Springs Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 7, 2004 Report Share Posted January 7, 2004 > I have developmental dysplasia that is is severe in the right hip and > am need of surgery. I have researched THR and resurfacing, as well > as visited with three OS, one of whom is Dr. Amstutz who is doing the > clinical trial for resurfacing in LA. The hip resurfacing makes more > sense to me than THR but my insurance most likely won't pay. I am 46 > year old female. I read Peggy Gariel's book on resurfacing and > wonder if anyone has recently gone to Belgium for the surgery, what > their experience and approximate cost was? They say now that the > mobility is great with the metal-on-metal THR and the main reason to > do resurfacing is bone conservation. Thoughts are appreciated. > Lynda in Colorado > Springs Hi Lynda There are a few other reasons to consider resurfacing besides conserving bone stock. The firsr is longevity. So far as we can now tell, with resurfacing being around for about 12 years, it will last a lot longer than a THR. For a person under 65, a THR is not perhaps the best first choice,as in most cases, it will not last one's lifetime. If nothing else, this gives you the option of getting a THR later on, if necessary, but you can't do the reverse. I believe recovery is a lot shorter with a resurf also. I went to Belgium in august to Dr De Smet. As everyone here says, who has gone to him, it was worth the time, trouble, and cost. Cost was 10,500 euros for all the hospital stuff, and pretty much everyone gets a refund from that. Hope this helps Sharry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2004 Report Share Posted January 11, 2004 > I discovered in the appeal denial that I don't really have >conventional insurance through United Healthcare. My husband's >company's parent corporation has a self-funded ERISA (Employee >Retirement Income Security Act of 1974) plan. United Healthcare only >provides administrative and claims payment services. An ERISA plan >is whatever the self-funding parent company says it is, and it is >exempt from regulation by state insurance laws. It is nominally >regulated by the federal Department of Labor, but when I called them >I learned that they " have regulatory oversight of ERISAs, but no >teeth. " In other words, large corporations have established these >plans to avoid the very insurance regulations designed to protect >consumers. State insurance commisions are powerless to review their >decidions and, if warrented, overrule them. , Have you considered talking to an attorney who specializes in Employment Law? If I'm not mistaken, ERISA specifically allows you to sue the plan for denial of benefits in either State or Federal court. It also prohibits an employer from taking retaliatory action against an employee for asserting his/her rights to do this. I know it's drastic, but sometimes a letter from an attorney can accomplish more than pretty much anything else. I'm not suggesting that you file suit or even threaten to do so, just that you consult an attorney (preferably one who specializes in labor matters) to find out what your options are. It seems to me that, with tens of thousands of dollars as well as your quality of life at stake, spending a few hundred dollars on an attorney might be a good investment. Steve (bilateral wanna-be) Quote Link to comment Share on other sites More sharing options...
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