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heffelsgirl

LAP-BAND Patients
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Everything posted by heffelsgirl

  1. I am not sure what plan you have-but-my Cigna policy states a 6 month supervised diet without significant lapse in coverage. My co-worker had an almost 2 month gap in her supervised diet and submitted paperwork anyway. She argued the no significant lapse wording and was approved. Read your policy - it will all work out. Good luck!
  2. I am hoping someone may have some advice for me. I am with Cigna and completed all requirements - 6mo Dr supervised diet, psych evaluation, stress test, letter of medical necessity, etc. True Results advised that all paperwork was submitted to Cigna 10/20/09. I have spoken with Cigna and they have no record of paperwork. I spoke with several associates in pre-determination dept and they said it should take no more than 3-4 business days for paperwork to be scanned into their system and they do not consider it rec'd until it is in system. I called True Results and was told it was sent and could not get them to refax my paperwork to a # provided by Cigna. I was advised I would have to speak to my patient advocate - whom I have left multiple messages and emails for. It has been over a week and Cigna still has no record of paperwork - True Results patient advocate has still not returned calls or emails. I have a co-worker who is having exact same issue w/same location. Cigna has 30 days to review once rec'd and I do not want this rolling over into a new calender year - my out of pocket deductible resets! Anyone else have similar experience or have any suggestions?

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