Bilinda's complaint:
November 11, 2013

Insurance Company: Blue Cross and Blue Shield Association
Coverage Type: Health Insurance

• Claim Handling - Denial of Claim

My husband Clarence D. Pottorff needs to have surgey on four disk in his neck. He has failed every nerve test. Has had MRI's and has been going to the doctor for this issue for years. The spinal doctor and the neurologist has said the only way to fix this issue is surgery. My husband has had this insurance company for the past 10 years. If my husband does not get this surgery he will continue to get worse. He will become paralyzed from the neck down or die. He can not ride are horses pick up anything over 30lbs. He says sometimes it feels like a fire cracker going off in his neck and he can feel it from the tips of his toes to the top of his head. He brought theis to the doctors attention and he said that is his spinal cord rubbing against the bone. The surgent wants to use two artifical disk and fuse two disk. The insurance company has denied the first claim so we appealed it on November 8, 2013 and they denied it again on November 11, 2013. The insurance comapany says it is investigational. Surgerys will stay investigational if surgents cannot do them. I dont want to lose my husband his quality of life is diminishing. My husband is only 46 years old. Please help my family.
Sincerly
Bilinda Pottorff

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