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Finally Cigna approved me. YA me

My packet was submitted to Cigna on 11-18 and the took 5 days to deny me. The doctor's office forgot to attach my diet information from my primary. I had asked her on 11-14 if she got it and she said up its all there. They scheduled me for 12-13 which I was like heck no problem. Then because I was denied the day before Thanksgiving and we resubitted it on that day at 1pm they then said no the resubmit day was 12-2 because they were closed Thanksgiving and Friday and Saturday and Sunday. Then they keep saying not done maybe by Friday and then on Monday they said maybe tomorrow. I was so annoyed because my surgery is this Friday. Finally they told me to have the doctor's office call and ask for a nurse and they will tell them over the phone if they approved me. The doctor's office called and within 15 mins she had called me back to say I was approved. I then had to go get pre op blood work and x-ray because I refused to pay for anything else till I knew it was approved. Even happy to day when hospital called to collect its money. They say it will cost me $1288.00 but we will see, but I'm almost at my out of pocket so it won't be much more than that.

So now as I sit here I have made it threw 12 days of the pre diet and lost 13 pounds not fantastic but I will take it, every little bit helps. I have tomorrow to go and the next day will be the big day. Kinda sucks because I was always a big baker at Christmas but this is so worth it. I feel happy today.

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  • Congrats.

  • I have Cigna insurance too.I'm kinda early in the stages though I have seen a dietician and scheduled to meet with a psychologist next week. My doctors office said Cigna can be picky with the approval

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Congrats.

Congrats.

I have Cigna insurance too.I'm kinda early in the stages though I have seen a dietician and scheduled to meet with a psychologist next week. My doctors office said Cigna can be picky with the approval

I have cigna too!!! I am calling monday to find out from my surgeons office to see if it was sent in. did you have a deductible for insurance ? I just had emergency appendix surgery so I'm already out of pocket $1,500 this year. So I'm not sure if I would have to pay deductible or not if I got to do the surgery by the end of this year??

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The hospital called me on Thursday and told me the charge would be $1288.00 but I expect more to come. I had $3700.00 out of pocket and had only satisfied $700.00 of it so I knew I would not pay more than $3000.00. I got my letter from Cigna on Saturday when I was released from the hospital and got home it was in my mail box. Good luck they are picky but mine was due to the doctor's office not submitting my diet info from my primary. At least with it taking them so long to approve it I never had time to worry myself about the surgery and if I was doing the right thing.

  • 2 weeks later...

Well I got called by the insurance cordinator at my surgeons office this morning :) They just sent my paperwork to insurance today !! I'm already out of pocket $1,500 for this year. And also my surgeons office is very strict on paperwork, they even make the paperwork for each month for the diet plan for the primary care dr to fill out so that way all info stays togther and they faxed those every visit back to the surgeons office.

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