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CIGNAQuestions

LAP-BAND Patients
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Posts posted by CIGNAQuestions


  1. The patient advocate at True Results called and told me that my insurance, CIGNA, will cover my Lap Band, and she gave me an out of pocket price, CIGNA requirements, etc. However, when I look up my insurance summary it says obesity surgery is excluded. Could it be that CIGNA can exclude the Lap Band procedure from an obesity surgery exclusion? Or is someone pulling my leg?

    Your benefits are really based off of your actual policy with us. I could assist you with this if you send me your contact info to SCR_isolve@cigna.com.


  2. Received Precertification letter from Cigna with approval code stating that surgery was medically necessary and a covered benefit on 10/12/10. Had lapband surgery on 10/27. Now I'm in the 2nd appeal stage to get Cigna to pay my surgeon and hospital bills ($17,000 worth!!). How in the world can this be possible? Does anyone know what my next step should be if the 2nd appeal is denied? Has anyone ever had this happen to them. Should I hire a lawyer?

    It doesn't sound like the claim(s) have been processed correctly. I would like to help you with this. Please send me your contact info to SCR_isolve@cigna.com if you would like my assistance. Hopefully we can figure this out together!

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