Got Denied

[Mensch 150]

Called Cigna today. Got the bad news. They say I was denied because my surgeon didn't send in a letter from an additional MD stating that I was evaluated and ok for surgery.

I called and left my surgeon's office a voicemail. I just assume that if the insursance coordinator in the office does this on a regular basis that he/she knows what to send in.

Guess I'll have to micromanage them now.

[SleeveandRNYchica 1,155]

That sucks, but I am sure you will set them straight in no time! It seems reoccurring with so many offices they forget something.

[PEvette 297]

Yeah, make sure you stay on top of that....they probably can appeal it and resubmit your paperwork with the missing info....

good luck! My District has Cigna and put a total exclusion for bariatric surgery for us....

[bmooney364 30]

Amazing, but things like that happen all the time. You go and micromanage away. Hopefully you will get your approval soon.

[ALIGAYLE 20]

good luck! My District has Cigna and put a total exclusion for bariatric surgery for us....

What does that mean that your "district" has a total exclusion on bariatric surgery?

[PEvette 297]

What does that mean that your "district" has a total exclusion on bariatric surgery?

yes

[Silly Phylly 20]

Called Cigna today. Got the bad news. They say I was denied because my surgeon didn't send in a letter from an additional MD stating that I was evaluated and ok for surgery.

I called and left my surgeon's office a voicemail. I just assume that if the insursance coordinator in the office does this on a regular basis that he/she knows what to send in.

Guess I'll have to micromanage them now.

So sorry to hear your news, but I for one appreciate you posting the issue. It helps others to know what to be aware of. I had a big disappointment as well. Informed by Doc that my BMI was only 39.18, so 6 month diet and frustration here I come! Sooooo upset! Hopefully yours is just some red tape and oversight that will be corrected soon. Continued good luck to you!

[Mensch 150]

Well, they resubmitted on Friday. They have asked Cigna to call them if it's denied a second time. They seem to think that it's the wording that the Cardiologist utilized. More to come..

Didn't realized the emotional toll this has...wowzers!

[IMSKINNY 160]

Well' date=' they resubmitted on Friday. They have asked Cigna to call them if it's denied a second time. They seem to think that it's the wording that the Cardiologist utilized. More to come..

Didn't realized the emotional toll this has...wowzers![/quote']

It is very stressful! While I was waiting for the ins, I started researching a Plan B. That gave me some solace. And just when Plan B was becoming Plan A, I was approved. So, hang in there! We've all been through it!