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My Experiance With Cigna

at first I had no issues with Cigna! Everything was going to smoothly and I really didn't think I was going to have any issues. I finished all my pre op visits, nutrition, I had a letter of referral from my primary doctor and a letter necessity from my surgeon, 6 months nutrition, and the only thing else I needed was a psychological evaluation, which I had done early in the game. I had my meeting with my surgeon on June 18th and they submitted everything to insurance June 20th or 21st. My surgery was scheduled for July 10th, but it wasn’t until July 6th did I hear anything for Cigna or my Doctors office in regards to approval. We received a letter saying that I still wasn’t approved! So after hours of the phone with no one being able to figure out why I wasn’t approved yet, we finally got a hold of someone named Brad who told us he got everything figured out and they were looking it over as we speak! And before he hung up he gave us the OKAY YOUR APPROVED!!...

The weekend came and went and I thought everything was all set, but I then received a call from my doctor saying I STILL wasn’t approved. So I called Cigna again and said that time they told me I was DENIED To say the least I was in tears and extremely angry that I was finding this all out THE DAY BEFORE SURGERY. Apparently they changed some things and I needed not only a referral from my doctor, but also a letter of necessity, they never received something from my surgeons office, and my psychological evaluation had to be done with in 6 months before surgery, mine was 8 months…..

Thank god I was able to pull some strings and got in to see my doctor after hours and have him to a surgery clearance and a letter, I got my psychologist to do a phone session with me and update my evaluation, and I harassed my surgeons office to figure out what the heck they were doing over there and get this mess fixed because my surgery was tomorrow.

Im sure it is partially my fault for not checking closer to the date of my surgery if everything was all set, but I cant help but put some blame on Cigna and my doctors office for both sitting on the paper work and not checking in to make sure everything was set on both ends and getting in touch with me .

I did end up having my surgery on the 10th! I got a call from my doctor’s office around 12 pm saying to head in asap I would be the last surgery of the day.

my word of advice, double, triple, and quadruple check to make sure things haven't changed on you since you started the process and that they are on their A game and are actually working to get you approved!

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  • Also my surgeons office said Cigna is by far the most difficult to deal with. She said they like to take thier full 30 days. On the other hand I have heard people say they are trying to streamline the

  • This all stinks, I was prepared for a long fight, but it took less than a week for my approval. Sending out some good vibes for you guys!

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Just make sure you follow through when your doctors have submitted everything. And constantly check up on your insurance company. Make sure everything is in order, and you shouldn't have any problems. For me it was all a break down of communication between my Doctor, and Insurance.

I will thank you both ladies! Made me feel a lot better! Just called my insurance, got some 'ok' news lol! Can't wait till my appointment next week !!

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