Cigna SHBP... the latest update

LaShelle2
on 3/20/09 7:28 am, edited 3/21/09 7:56 am - STOCKBRIDGE, GA
Just got off the phone with Kathy Sampson a supervisor at Cigna. She was on the conference call with SHBP today...

She said they decided on their conference call today if you were already in process (have started the coaching either online or phone)  YOU WILL NOT HAVE TO DO 6 MONTHS SUPPORT GROUP.    Well, in my humble opinion at this point anything they say is not worth a hungry fly on a hill of doo doo.   But, at least it makes me hopeful that when I submit in May, I won't get any crazy surprises.



Bad  news is if you haven't already started (didn't I warn you months ago not to procrastinate and start!)  you DO have to have the 6 months support meetings.  

The meetings HAVE to be affiliated with a surgeon's office :-(  and the surgeon has to operate out of a center of excellence.  If you live hours away from a COE surgeon, good luck! 


So here's my plan of action:
1. continue the petition,   so they'll get the picture and not keep adding stuff. Plus someone should be reprimanded for not having this stuff together in the first place!

2. continue the online coaching, phone coaching, support meetings, add a COE support meeting too, Did I leave anything out?

Even though they say we don't have to do all this stuff I DON'T TRUST THEM! I am not giving them a reason to deny me.  Maybe I am a little paranoid, but at this point don't I have a right to be?

I pray they don't cancel the wls coverage next year.  I can't afford to pay out of pocket for my aftercare, and if they exclude wls, they WILL exclude the aftercare (keep this in mind if you're considering lap band or rny because you may have to pay for your own fills and revisions in the future)


BTW Kathy Sampson is assigning me a case manager. Seems like the telephone contact I posted about earlier does exist.  She said the case manager will make sure I am on track and will let me know of any changes in the requirements. She will be an inside Cigna contact to guide me through the process. I'll keep you posted on what that's like.


I can't wait for this to be OVER!  

               **** I AM AN OH SUPPORT GROUP LEADER ****
WHY I CHOSE DS: 
No dumping.  Highest percentage of weight loss, Best long term results,  Won't regain weight!  Eat normal sized meals,  96% diabeties, 90% high blood pressure, 80% sleep apnea cured.                                    I  MY DS!
My doctor told me to stop having intimate dinners for four unless there were three other people.    ~Orson Wells  

tchrmom
on 3/21/09 6:52 am - Northeast, GA
I am with you...I don't trust them. I am planning to call Monday and ask about the case manager.
LaShelle2
on 3/21/09 7:21 am - STOCKBRIDGE, GA
make sure you ask them to mark your call as an administrative complaint.  

               **** I AM AN OH SUPPORT GROUP LEADER ****
WHY I CHOSE DS: 
No dumping.  Highest percentage of weight loss, Best long term results,  Won't regain weight!  Eat normal sized meals,  96% diabeties, 90% high blood pressure, 80% sleep apnea cured.                                    I  MY DS!
My doctor told me to stop having intimate dinners for four unless there were three other people.    ~Orson Wells  

Lookingup
on 3/21/09 1:12 pm - Sharpsburg, GA
I actually have no dog in this fight but I am cheering you guys on!  If your support group can be with any doctor's office in a center of excellence, call Dr. Dennis Smith's office to get their support group times.  His office is a center of excellence.  Keep the faith and the fight! 


Lookingup
Pre Weight Loss 337
Pre Op 319
DS Surgery Oct. 23, 2008

LaShelle2
on 3/22/09 3:47 am - STOCKBRIDGE, GA
Thanks Jama, but I think it will have to be a Cigna center of excellence surgeon.  That was the information I was given. This will be a horrible inconvenience for people living in remote areas of the state.

               **** I AM AN OH SUPPORT GROUP LEADER ****
WHY I CHOSE DS: 
No dumping.  Highest percentage of weight loss, Best long term results,  Won't regain weight!  Eat normal sized meals,  96% diabeties, 90% high blood pressure, 80% sleep apnea cured.                                    I  MY DS!
My doctor told me to stop having intimate dinners for four unless there were three other people.    ~Orson Wells  

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