~Not Sure what they are really saying~

I Finally after 3 weeks recieved my denial letter from Cigna, and I was a little amazed at what it said, because after reading it several times, Im not sure what they heck they are saying. *Laugh* Geez talk about feeling foolish. Anyway Im gonna post my letter, and let anyone read it and let you guys tell me what you think, and what I Should do Next...I really just want to throw my hands up but I just cant..Here is the letter........ We are acknowledging your request for a pre estimate of benefits under the above plan for services recommended for the patient.. Based on the information submitted, the plan currently would provide no benefits for gastric bypass. Any Claim submitted is subject to all provisions of the plan.Including eligibility requirements, and benefit amounts, If any, Will be determined on the basis of facts existing when services are preformed. It is understood that circumstances (Change of diagnosis, change in plan of treatment, medical complications) may result in different CPT codws and thus charges different then those submitted on the pre-Estimate Form. ********************************** So there it is, I know that CIGNA PPO has in the past covered the surgery, and im not sure why I even got denied. Anyone with advice, or having dealt with Cigna, please Let me know and send any help *Smiles* Thanks.....

We greatly appreciate your interest in helping us build our Q&A database. To discourage vandals from posting garbage, however, we require people to register before posting.

You must be logged in to post an answer. Click here to log in.

×