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Got Denied

Mensch

By Mensch, in Insurance & Financing

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Mensch    150

Mensch
Posted

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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SleeveandRNYchica    1,155

SleeveandRNYchica
Posted

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

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PEvette    297

PEvette
Posted

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....

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bmooney364    30

bmooney364
Posted

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

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ALIGAYLE    20

ALIGAYLE
Posted

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?

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PEvette    297

PEvette
Posted

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

yes

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Silly Phylly    20

Silly Phylly
Posted

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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Mensch    150

Mensch
Posted

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!

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IMSKINNY    160

IMSKINNY
Posted

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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Go To Topic Listing Insurance & Financing

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
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      1. summerseeker

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        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

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