So close i can taste it (Cigna)

[karpouzian 94]

They received my information last Tuesday. It has been through a couple of phases, they say it takes 5 business days, but today I got told Thursday or Friday... The waiting is just getting so tough now that I'm so close to a surgery date. I know, I'm a whiner

[Ms skinniness 3,003]

It will happen, they will notify and the worst is that they will decline and your surgeon will appeal it and get an approval on it. Yes this is totally anxiety provoking too......

[karpouzian 94]

It will happen' date=' they will notify and the worst is that they will decline and your surgeon will appeal it and get an approval on it. Yes this is totally anxiety provoking too...... [/quote']

They won't have a chance to notify, I call daily

[TapSnap 357]

They won't have a chance to notify, I call daily

I also have Cigna and called every day. I got my yes on 3 days after they said the got the paper work.

Good Luck

[MizzouGirl 148]

I got my approval from Cigna in under a week. Good luck!

[melissa130 135]

Try not to bug them. Keep busy and stay positive. You may end up irritating the very person who makes the decision.

[karpouzian 94]

Hhhhh, still pending in medical review... Today or tomorrow they tell me. I can wait

[karpouzian 94]

I called again today, and they told me tonight or tomorrow... I'm so proud of myself I did not call again tonight once a day is my limit... Until next week

[karpouzian 94]

Well, I was denied by my insurance...

I called my insurance company today and I was told my prior-authorization was denied. They apparently did not receive the separate evaluation from a different physician recommending for bariatric surgery and approval for surgery. I had an appointment for that specifically on the 24th of May, and it was sent over to my Surgeon's Office on the 28th of May (and they confirmed receipt).

I SHOULD have asked if there were any other reasons for the denial, but I'll probably ask on another day.

I've emailed my insurance coordinator at my Surgeon's office to see if she has any more clarification she can offer, and she did state that she sent the information with the initial prior-authorization, so she has faxed it again twice today.

I guess I'll call again tomorrow to confirm they received her fax, and to see if there were any other reasons for the denial.

Ahh well, there is always an appeal.

Does anyone think I should maybe go to a supervisor, or is that going to do me more harm than good?

[evansmini 8]

Ahhh Cigna, fight it. My husband was denied by Cinga last week. We fought it tooth and nail, saw the dietitian again. Made the Primary Care Physician write "Cleared and Recommended for surgery" also has the physiologist write "unequivocally cleared for surgery." Follow the verbiage in the requirements to the T. Paperwork was submitted Tuesday and he was approved this morning. His surgery is scheduled for Monday. My paperwork will be submitted next week, so I'm sure I'll be in the same boat. Message me for any info.

[karpouzian 94]

I'll fight it, it is just kind of a let down. I'm going to get more specifics tomorrow, and my insurance coordinator is on the ball also...

[CCRNonherway 78]

Just submit what they want. No need to "fight" anything at this point. They have very specific requirements, so make sure all paperwork is sent in. Same thing happened to me. Once paperwork was submitted it took about a week for approval.

The positive thing is that they didn't deny you or a medical reason--that's where the fight comes in! Good luck!

Sent from my iPad using VST

[karpouzian 94]

Uhh, should be Thursday at this point (per the Customer Service Rep)...

I guess I'll keep at it 'till then.

Then the testing, and assuming that all turns out ok, then we have the surgery...

Still hoping for the middle of July, but I guess we'll see.

[CCRNonherway 78]

Uhh' date=' should be Thursday at this point (per the Customer Service Rep)...

I guess I'll keep at it 'till then.

Then the testing, and assuming that all turns out ok, then we have the surgery...

Still hoping for the middle of July, but I guess we'll see.[/quote']

Don't lose hope! Just keep playing the game and give them exactly what they want. Good luck!

[karpouzian 94]

Don't lose hope! Just keep playing the game and give them exactly what they want. Good luck!

I'm not losing hope, just whining