Angry at my Dr. Office

iluvpalmtrz · December 27, 2005

I had my surgery on 5/17/05 in Maine. I relocated out of state 7/05. As nobody would take me on ( as they state I am a liability ) I have kept my Dr. ( who I love! ). My fills are 300.00...kinda pricey compared to what I have seen. My insurance-Cigna- was not covering anything to due with weight loss surgeries but I requested we try to see if anything would be approved as they are always changing. Well, I got great news stating not only would they cover my fill scheduled for December but would also pay for my fill in August! I was beyond happy! I had my fill in December and a week later I received a call from the office that Cigna was having to do an authorization. Come to find out the office misunderstood and told me I was approved when I was not. I had checked with them numerous times before I flew home to confirm this was covered and was told yes definetly. I just received word that Cigna has now denied both fills. I knew that may happen but I thought it was very unprofessional for the office to tell me I was all set when I was not. ( I have also had a different problem with my forst fill ). I am frustrated that I am considered a liability! What about people with pacemakers, colostomy bags, ect who relocate?? Ok, I will calm down! Sorry to have to vent...has anyone else dealt with this??

fiveholts714 · January 1, 2006

I haven't but you can file an appeal with your insurance compant- include any written documentation or notes that you took about what the Dr's office told you. You can also file a complaint with your insurance through their Provider Relations office.