Heart racing, Palms Sweaty, Scared as H-E double hockey sticks

[krasc001 0]

I received word that was paperwork was submitted by approval yesterday from the doctor's office. Just for fun, I decided to call Cigna to see if my paperwork had been received. The CSR responded that yes it has been received and I would hear word most likely tomorrow. I am so scared. I wish I knew the process they went through to view it. Do they compare it another person who's seeking approval's paperwork. My insurance is getting ready to change so it would be quite beneficial to be approved.

My sister and mother are worried that if I don't get a approved that I will completely break down and self-destruct. I am trying to prepare myself to hear the word no and be positive that this doesn't mean I won't be able to have the surgery, it just means later, rather than sooner. But I can't help it, I'm such a worry wart and I am afraid I'll be thinking all day what they will see that's going to make them choose between yes or no. I have said several prayers, I will say a couple more. Hopefully prayer changes things.

Best of luck to others who have submitted paperwork and await approval. I will pray for you as well.

[LapBandBobbi 8]

Good luck! Hope you get approved and on your way!

[jessejames9999 0]

I'm surprised to find another Cigna worry wort on my first time scanning the postings here.

My coverage is through Cigna also. My application for surgery was sent out about 10 days ago, It took a week to get a response, It was denied for a very minor bit of missing criteria which was really covered by implication in the reports from my surgeon and primary care doctors, My primary care doctor was so upset at this minor lack of understanding taken by the Cigna review board that he called the Medical Director for Cigna and after that conversation faxed over a more precise "medically politically correct wording" of his recommendation for my surgery and the next day received a phone call from that Cigna Director that my surgery was now approved. It took another day for the Cigna computer systems to be updated from rejection to approved state and today my surgeon's office was able to verify the approval with Cigna and my surgery is scheduled for Dec. 13th. My long BS journey to get qualified via Cigna is over!

Their critteria is very specific and not based on comparison to another applicant's. If you get rejected your doctor and you will get a letter specifically stating what their criteria was and exactly where your application is lacking/rejected. This rejection letter took nearly a week to get to me. My surgeon got notice electronically the day after the decision was made by the review board amd called me with the news right away. In this 2nd pass, since my primary care doctor went directly to the Cigna Medical Director I ended up getting approval notice from my primary care doctor's call to me and I ended up notifying my surgeon's office of the approval. Might have been the first time the surgeon found out about an approval from the patient, but that was my experience today.

Because of my age, 63-1/2, and that I'll be on Medicare at 65 I feared Cigna would do everything they could to deny me, but it worked out! Don't give up. If denied carefully address the reason given for the rejection even if it seems trival as mine was. If needed you and your physicians should do appeals respectfully and promptly and you might have a similar outcome to mine.

Good Luck!