kksgranny
LAP-BAND Patients-
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About kksgranny
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Rank
Advanced Member
- Birthday 09/21/1964
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kksgranny started following Saddened By Cigna, Banded yesterday....feel miserable, Impressed with CIGNA's coverage! and and 5 others
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Banded yesterday....feel miserable
kksgranny replied to socalfosh's topic in POST-Operation Weight Loss Surgery Q&A
I too was banded yesterday and was glad to see the posts.. I dont feel great today.trying the walking thing.Looking forward to feeling great:) -
Impressed with CIGNA's coverage!
kksgranny replied to slimteacherin08's topic in Insurance & Financing
Good to hear from you..and thanks for the support. I had my lap band yesterday:) self pay ...BUT appealing.Dont get discouraged. I have been soooo frustrated on this journey.. I believe it is because this is so important to our health that it is always in the forefront of our minds. paperwork can never paint the full picture. I will keep you in my thoughts and prayers throughout your journey..Keep the faith!!! -
Impressed with CIGNA's coverage!
kksgranny replied to slimteacherin08's topic in Insurance & Financing
CIGNA payed nothing after over a year of hoop jumping.. I may be 12000 in debt self pay but it will be worth it ..personally would not reccomend CIGNA to anyone -
Keep the faith..I feel your pain as I too have bawled for weeks regarding lack of info, denials and now a big private pay loan. I even bawled sooooooo much that a insurance rep asked if I saw a therapist... Thanks....All I know is ..This will work out somehow..keep moving toward your goal :}
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Has anyone been reimbursed after self-pay?
kksgranny replied to ML in VA's topic in Insurance & Financing
I too have been denied and denied by cigna..there is always a little something absent or not right. I dont think they approve anybody.. I am going to self pay, appeal, and get a lawyer. I feel frustrated and lied to..but not enough to lose sight of my goal. I have diabetes sleep apnea and depression..which is now worse..cigna is no friend of mine. -
I have been denied by CIGNA again!!!!! It seems they can never "HAVE ALL THE INFO NEEDED" even though it has been sent multi times by multi people. They will not give me a name of the person handling my case. I have had 3 medical necessity letters,fasted for 7months x2 in the last 5 years and have all of my monthly documentsx 8 months. They wont count the dietitian because she did not take vital signs. They say the only process is peer to peer review. I am frustrated but not giving up...but it is wearing on me physically and mentally. My blood sugar is up..Dont know what to do ..I am glad people do get approved it gives me a littlehope!
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I may have to look into mexico or something!! What are the costs?? I
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Denied again...that was the news from CIGNA..Seems they cant find the items that they need....even though they have been sent repeatedly.. I have met all criteria..yet there is always a problem..I am so very frustrated and depressed. I know my surgeon is tired of sending info as well as my internist. they :sad:have the power and I have little hope left. I feel like such a whiner...but I really think without the surgery I am doomed.
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Denied again...that was the news from CIGNA..Seems they cant find the items that they need....even though they have been sent repeatedly.. I have met all criteria..yet there is always a problem..I am so very frustrated and depressed. I know my surgeon is tired of sending info as well as my internist. they :sad:have the power and I have little hope left. I feel like such a whiner...but I really think without the surgery I am doomed.
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congrats..I am glad to see somebody gets approval from cigna...I am submitting and reubmitting and denied etc etc and have BMI 42 with comorbidities..I guess all is not the same..congrats again you give me Hope!!!
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Well....I have never had a blog..nor have I read many..but I need an outlet for my frustrations, trials..and :biggrin:yes blessings. I am currently in an appeals mode or "resideration mode" for lap band. I have all but stood on my head, submitted every embarasing factoid regarding my mental and phsical health only to continue sending more andmore andmore iformation:crying: meanwhilemy weight stays the same and my blood sugar is up AND I feel somehow defective and alone. Out of all of the procedures and illnesses in the world ..obesity is the one that points blame and requires complete exposure of ones self and psyche before treatment is considered:confused: yet untreated diabetes hypertension cardiovascular disease,amputations..NO problem..No hoops..No minimum/maximum visit AND NO PRIOR AUTHORIZATION:mad::confused:THOUGHTS????????
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Well....I have never had a blog..nor have I read many..but I need an outlet for my frustrations, trials..and :biggrin:yes blessings. I am currently in an appeals mode or "resideration mode" for lap band. I have all but stood on my head, submitted every embarasing factoid regarding my mental and phsical health only to continue sending more andmore andmore iformation:crying: meanwhilemy weight stays the same and my blood sugar is up AND I feel somehow defective and alone. Out of all of the procedures and illnesses in the world ..obesity is the one that points blame and requires complete exposure of ones self and psyche before treatment is considered:confused: yet untreated diabetes hypertension cardiovascular disease,amputations..NO problem..No hoops..No minimum/maximum visit AND NO PRIOR AUTHORIZATION:mad::confused:THOUGHTS????????
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I sent in all info required based on info I received from cigna in January..BUT their requirements for documentation changed as of May 18 2008 requiring MUCH more data comorbitiy length ect...now I have to jump through more hoops before I can appeal.
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Thanks for the appeals advice..Im going for it!! Back to the d for more documentation! I am in Illinois