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Open Medical / eventual TKR repair
#8
newknee

I was injured 2005, bilateral knees, the lumbar spine was later added to the claim, and jus before I reached MMI on the knees and back I was injured by the wc doctor resulting in an ACDF of C5-6 earlier this year.

My first knee surgery was 2006, a failed surgery, I had a TKR of this knee in 2008. THe IME rating I recived on the TKR was 75%. The other knee (right)required surgery, meniscus & chrondyl repair and pilca sectioning in 2007, I will need a TRK of this knee in the future according to the surgeon.

I settled earlier this year and tried for open medical on the TKR, the insurance refused, did not matter was my attorney had to say. I receive social security disability so a medicare set-aside was requied with my settlement. The insurance company was able to fly under the radar and receive the approval of $4,600.00 on the TKR for life.

Part of the problem was the wc doctor saying the TKR would last me for life. I was 51 when I had the TKR surgery.

Good luck and I wish you the best!
 
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Messages In This Thread
RE: Open Medical / eventual TKR repair - Bummer Knees - 11-04-2011, 08:17 PM

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