BC/BS Anthem denying graft surgery to close an open wound

I had ankle fusion surgery last November. I had two incisions, one healed and the other is still open, with a small area of bone graft visible. I saw a plastic surgeon referred by my orthopedic surgeon in early February and he says I need a graft to cover it. I’m not allowed to walk, using crutches and a knee scooter. Anthem has denied it twice because my surgeon wants to use Integra for the graft. He is filing a grievance. I’m an experienced ICU nurse who can’t work. It’s been 5 months. Any suggestions?

submitted by /u/Loretty
[link] [comments]I had ankle fusion surgery last November. I had two incisions, one healed and the other is still open, with a small area of bone graft visible. I saw a plastic surgeon referred by my orthopedic surgeon in early February and he says I need a graft to cover it. I’m not allowed to walk, using crutches and a knee scooter. Anthem has denied it twice because my surgeon wants to use Integra for the graft. He is filing a grievance. I’m an experienced ICU nurse who can’t work. It’s been 5 months. Any suggestions? submitted by /u/Loretty [link] [comments]Read Morer/HealthInsurance

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