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Cigna Insurance

woozybaby27

By woozybaby27, in Insurance & Financing

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lucclu81    21

lucclu81
Posted

Oh wow that was quick!! I haven't had my 1st check up yet.....I couldn't get an appt until next Wednesday...so the drain is still in!! That sucks for me but yayyy for you!! Great job on the weightloss...yup I gotta mk these shakes work. I found an Isopure flavor I can tolerate pineapple/orange/banana but I still don't hv the energy to drink it...

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waitingtoexhale    174

waitingtoexhale
Posted

I have NALC under CIGNA PPO. I've completed all of the necessary steps to get my sleeve. My doctor submitted all of my papers on 7/21/14 and as of yet, we haven't heard anything. I called Cigna and was told that they have 30 days to review but geesh, do they really take 30 days?! Does anyone here have NALC health insurance under Cigna ppo?

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Jersrose43    837

Jersrose43
Posted

I have NALC under CIGNA PPO. I've completed all of the necessary steps to get my sleeve. My doctor submitted all of my papers on 7/21/14 and as of yet, we haven't heard anything. I called Cigna and was told that they have 30 days to review but geesh, do they really take 30 days?! Does anyone here have NALC health insurance under Cigna ppo?

They usually take less but have to tell you 30. Also the Nalc reviews some of these directly which is part of reason takes Longer.

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waitingtoexhale    174

waitingtoexhale
Posted

I received a call today 8/26/14 informing that my VSG procedure was approved on Friday 8/22/14!! :) the insurance rep also stated that I have approval for the RNY too!!! Now I'm waiting on the call for surgery DATE

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bigmommah    0

bigmommah
Posted

I am excited for you to have gotten your approval!

I am getting extremely frustrated. I was denied(within their 5 day limit), they said because I was missing a second physician referral....which they DID already have. Then I just received a denial(on the 30th day, at 4:40pm after calling earlier that morning and asking about it they told me to call back later that afternoon) on my 1st appeal, because they said I am missing a physical exam, which they DO have! So, much surgeons office is filing a second level appeal today. I was told that this level of appeal has to be resolved within 15 days. So, keeping my fingers crossed and my faith up!!!

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Jersrose43    837

Jersrose43
Posted

I am excited for you to have gotten your approval! I am getting extremely frustrated. I was denied(within their 5 day limit), they said because I was missing a second physician referral....which they DID already have. Then I just received a denial(on the 30th day, at 4:40pm after calling earlier that morning and asking about it they told me to call back later that afternoon) on my 1st appeal, because they said I am missing a physical exam, which they DO have! So, much surgeons office is filing a second level appeal today. I was told that this level of appeal has to be resolved within 15 days. So, keeping my fingers crossed and my faith up!!!

Stop sending appeals. They only allow 1

Have the surgeon office call and request a peer to peer review. That is when clinical staff talk to clinical staff.

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vsgchick    117

vsgchick
Posted

I got my Cigna approval today! It took a week. October is wedding month, so I scheduled surgery for November 20.

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waitingtoexhale    174

waitingtoexhale
Posted

I got my Cigna approval today! It took a week. October is wedding month, so I scheduled surgery for November 20.

Congratulations @@vsgchick

I finally got approved and my surgery is scheduled for September 26! I'm excited for the both of us! Congratulations on your wedding too!

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vsgchick    117

vsgchick
Posted

Thank you! Congrats to you too. Very excited about our journey! :)

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friejenn    42

friejenn
Posted

So anybody else had problems with approval first go around? Cigna wanted more notes from NUT and I had to ask my PCP to write a more specific medical necessity letter. I am 5'6" and 248lb, BMI is 40.06. What do you guys think ?

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waitingtoexhale    174

waitingtoexhale
Posted

So anybody else had problems with approval first go around? Cigna wanted more notes from NUT and I had to ask my PCP to write a more specific medical necessity letter. I am 5'6" and 248lb, BMI is 40.06. What do you guys think ?

If you have other doctors such as therapist for knees, back, ect. They can write a medical necessity letter.

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LSF    264

LSF
Posted

I got my Cigna approval today! It took a week. October is wedding month, so I scheduled surgery for November 20.

. Did you have to wait long when you started the process for approval?

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Go To Topic Listing Insurance & Financing

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      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
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    • BeanitoDiego

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      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
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    • BeanitoDiego

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    • ChunkCat

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    • BeanitoDiego

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      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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