mardi 27 mars 2018

Health Insurance: Weren't Told About a Condition at Age 11: Deterioration Since then

My question involves insurance law for the state of: California.
Is this negligence on the part of my daughter’s medical insurance provider? My daughter had X-rays taken of her back at ages 11 and 24 (recently), and there have been big changes that we were not warned could happen. The X-ray was done at age 11 because I saw a curve in her upper spine. I was told that she had a 10-degree curvature in her upper back, with kyphosis, and it wasn’t anything to worry about at that time. Both Diagnostic Imaging reports stated that one of her lower vertebra is partially fused to her hip bone (in layman’s terms.) The Digital Imaging report done at age 11 noted that this “produces a mild tilt of the pelvis” and deferred further analysis to her GP. No treatment was recommended. We were not told about any of this when she was 11. Recently, at age 24, she saw a chiropractor regarding long-term back pain and tingling in her hip joints. The results of the X-ray he took made her go to her doctor for a closer look, as he had told her she had a fused vertebra and sacrum. The Diagnostic Imaging report from her medical insurance provider noted the fused vertebra and “degenerative changes”. It incorrectly states that there was no previous test performed. An X-ray upon which this report was based shows a significantly tilted pelvis and curved LOWER spine. My daughter is nearly 6 feet tall, is very active, slim and physically fit. She has always been unusually tall and lanky for her age. She makes her living teaching dance and doing aerial performances, including contortion. She has been unusually limber since she was a baby. We are concerned about the long-term health problems she might encounter. Was the insurance provider negligent in not informing us of the fused vertebra and tilted pelvis when she was 11? Could they claim that her work as a contortionist played a part in the changes in her bone structure, and they are not liable? What recourse does she have?
Thanks.


Health Insurance: Weren't Told About a Condition at Age 11: Deterioration Since then

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