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Grandfather’s fight for coverage of spinal surgery
NBC News· 2025-10-17 00:30
Healthcare Coverage & Insurance Disputes - Aetna initially denied coverage for a 68-year-old man's spinal reconstruction surgery, despite his doctor's recommendation [3][4] - The denial was partly based on the patient not completing physical therapy, which the doctor deemed ineffective for his condition [4] - The insurance company reversed its decision and approved the surgery after NBC News contacted them [6] - Aetna claimed the patient's doctor had opportunities to engage with their medical team but declined, and that necessary documentation was not previously provided [6] - The patient disputes Aetna's claim about the information and the doctor declined to comment [7] - The denial of coverage resulted in the patient losing approximately one year of normal life [7] Patient Experience & Impact - The patient experienced severe back pain that significantly impacted his daily life and activities [2] - The patient sought various methods of pain relief, including a human dog bed [2] - The patient's family expressed frustration and helplessness due to the denial of necessary medical treatment [5]