CIGNA
I am covered by Cigna with the State and did get approval. Will be glad to answer any questions that you may have. My advice is to have them mail you their requirements for bypass surgery in writing. They outline everything they require. Then follow all the requirements to a T and everything should go through without a problem.
I was denied the first time through because some of the paperwork seemed to be missing. Once that was submitted the approval went through without any problems.
With Cigna, never take NO for an answer!
I was denied the first time through because some of the paperwork seemed to be missing. Once that was submitted the approval went through without any problems.
With Cigna, never take NO for an answer!
Cat Lady
I had CIGNA through my husband's employer. I do agree - DO NOT TAKE "NO" from them, push and push.
They had my benefits loaded in wrong so they kept saying I was not covered for the surgery.
They would have a page online for your insurance that states the policy position, ask a customer service representative to guide you to it. This is helpful as it lays out what they requirements they would expect from you.
With the policy we had I had to have DOCTOR supervised diet for six months , with everything documented. I did this with my PCP, however the visits with a nutritionist who has a MD signing off on the visits yielded better paperwork. You do need all that paperwork for your surgeon to submit, also any other issues concerning your health from the PCP or specialist should be submitted. I had Diabetes 2 , High blood pressure, sleep apnea, issues with varicose veins, asthma, whatever would be somewhat alleviated by weight reduction should be submitted.
After a struggle to get my MD's paperwork, I was approved within 3 days.
Had they denied I was ready to fight with an appeal.
All the bills were paid, and I am very pleased with CIGNA in the end.
Good luck
Cathy
They had my benefits loaded in wrong so they kept saying I was not covered for the surgery.
They would have a page online for your insurance that states the policy position, ask a customer service representative to guide you to it. This is helpful as it lays out what they requirements they would expect from you.
With the policy we had I had to have DOCTOR supervised diet for six months , with everything documented. I did this with my PCP, however the visits with a nutritionist who has a MD signing off on the visits yielded better paperwork. You do need all that paperwork for your surgeon to submit, also any other issues concerning your health from the PCP or specialist should be submitted. I had Diabetes 2 , High blood pressure, sleep apnea, issues with varicose veins, asthma, whatever would be somewhat alleviated by weight reduction should be submitted.
After a struggle to get my MD's paperwork, I was approved within 3 days.
Had they denied I was ready to fight with an appeal.
All the bills were paid, and I am very pleased with CIGNA in the end.
Good luck
Cathy
highest weight -277 Surgery Day- 248.8 Current weight 162 / Goal-130 
I really thank everyone for coming to my rescue with the CIGNA question because I was going crazy. I submitted what I thought to be everything,; my 6 months with my PCP, physchiatrist letter that said I'm officially not crazy (lol) and surgeon letter, BMI, Co-morbidities, showing I have been overweight for over 24 months. etc,etc,etc.
Then they denied it for the physician's letter said it had one sentence that conflicted with their policies. ?????? She has completed it to their standards and I hope it's enough. I really hope to hear something this week. It's been about week now, but wih the holidays i'ts difficult to predict the work shedule. Believe me...... I will be calling them up tomorrow and I pray that's the only glitch. Everyone says the same thing, and thats re-assuring, that this is their policy with denials / approvals.
Keep me in your prayers, and I hope to have a good update this week.
Thanks and God Bless,
Candy
Then they denied it for the physician's letter said it had one sentence that conflicted with their policies. ?????? She has completed it to their standards and I hope it's enough. I really hope to hear something this week. It's been about week now, but wih the holidays i'ts difficult to predict the work shedule. Believe me...... I will be calling them up tomorrow and I pray that's the only glitch. Everyone says the same thing, and thats re-assuring, that this is their policy with denials / approvals.
Keep me in your prayers, and I hope to have a good update this week.
Thanks and God Bless,
Candy
Most Active
Recent Topics
