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Got Denied

Called Cigna today. Got the bad news. They say I was denied because my surgeon didn't send in a letter from an additional MD stating that I was evaluated and ok for surgery.

I called and left my surgeon's office a voicemail. I just assume that if the insursance coordinator in the office does this on a regular basis that he/she knows what to send in.

Guess I'll have to micromanage them now.

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That sucks, but I am sure you will set them straight in no time! It seems reoccurring with so many offices they forget something.

Yeah, make sure you stay on top of that....they probably can appeal it and resubmit your paperwork with the missing info....

good luck! My District has Cigna and put a total exclusion for bariatric surgery for us....

Amazing, but things like that happen all the time. You go and micromanage away. Hopefully you will get your approval soon.

good luck! My District has Cigna and put a total exclusion for bariatric surgery for us....

What does that mean that your "district" has a total exclusion on bariatric surgery?

What does that mean that your "district" has a total exclusion on bariatric surgery?

yes

Called Cigna today. Got the bad news. They say I was denied because my surgeon didn't send in a letter from an additional MD stating that I was evaluated and ok for surgery.

I called and left my surgeon's office a voicemail. I just assume that if the insursance coordinator in the office does this on a regular basis that he/she knows what to send in.

Guess I'll have to micromanage them now.

So sorry to hear your news, but I for one appreciate you posting the issue. It helps others to know what to be aware of. I had a big disappointment as well. Informed by Doc that my BMI was only 39.18, so 6 month diet and frustration here I come! Sooooo upset! Hopefully yours is just some red tape and oversight that will be corrected soon. Continued good luck to you! :rolleyes:

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Well, they resubmitted on Friday. They have asked Cigna to call them if it's denied a second time. They seem to think that it's the wording that the Cardiologist utilized. More to come..

Didn't realized the emotional toll this has...wowzers!

Well' date=' they resubmitted on Friday. They have asked Cigna to call them if it's denied a second time. They seem to think that it's the wording that the Cardiologist utilized. More to come..

Didn't realized the emotional toll this has...wowzers![/quote']

It is very stressful! While I was waiting for the ins, I started researching a Plan B. That gave me some solace. And just when Plan B was becoming Plan A, I was approved. So, hang in there! We've all been through it!

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