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So close i can taste it (Cigna)

karpouzian

By karpouzian, in Insurance & Financing

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karpouzian    94

karpouzian
Posted

They received my information last Tuesday. It has been through a couple of phases, they say it takes 5 business days, but today I got told Thursday or Friday... The waiting is just getting so tough now that I'm so close to a surgery date. I know, I'm a whiner ;)

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Ms skinniness    3,003

Ms skinniness
Posted

It will happen, they will notify and the worst is that they will decline and your surgeon will appeal it and get an approval on it. Yes this is totally anxiety provoking too...... :)

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karpouzian    94

karpouzian
Posted

It will happen' date=' they will notify and the worst is that they will decline and your surgeon will appeal it and get an approval on it. Yes this is totally anxiety provoking too...... :) [/quote']

They won't have a chance to notify, I call daily ;)

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TapSnap    357

TapSnap
Posted

They won't have a chance to notify, I call daily ;)

I also have Cigna and called every day. I got my yes on 3 days after they said the got the paper work.

Good Luck

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MizzouGirl    148

MizzouGirl
Posted

I got my approval from Cigna in under a week. Good luck!

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melissa130    135

melissa130
Posted

Try not to bug them. Keep busy and stay positive. You may end up irritating the very person who makes the decision.

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karpouzian    94

karpouzian
Posted

Hhhhh, still pending in medical review... Today or tomorrow they tell me. I can wait ;)

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karpouzian    94

karpouzian
Posted

I called again today, and they told me tonight or tomorrow... I'm so proud of myself I did not call again tonight ;) once a day is my limit... Until next week ;)

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karpouzian    94

karpouzian
Posted

Well, I was denied by my insurance...

I called my insurance company today and I was told my prior-authorization was denied. They apparently did not receive the separate evaluation from a different physician recommending for bariatric surgery and approval for surgery. I had an appointment for that specifically on the 24th of May, and it was sent over to my Surgeon's Office on the 28th of May (and they confirmed receipt).

I SHOULD have asked if there were any other reasons for the denial, but I'll probably ask on another day.

I've emailed my insurance coordinator at my Surgeon's office to see if she has any more clarification she can offer, and she did state that she sent the information with the initial prior-authorization, so she has faxed it again twice today.

I guess I'll call again tomorrow to confirm they received her fax, and to see if there were any other reasons for the denial.

Ahh well, there is always an appeal.

Does anyone think I should maybe go to a supervisor, or is that going to do me more harm than good?

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evansmini    8

evansmini
Posted

Ahhh Cigna, fight it. My husband was denied by Cinga last week. We fought it tooth and nail, saw the dietitian again. Made the Primary Care Physician write "Cleared and Recommended for surgery" also has the physiologist write "unequivocally cleared for surgery." Follow the verbiage in the requirements to the T. Paperwork was submitted Tuesday and he was approved this morning. His surgery is scheduled for Monday. My paperwork will be submitted next week, so I'm sure I'll be in the same boat. Message me for any info.

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karpouzian    94

karpouzian
Posted

I'll fight it, it is just kind of a let down. I'm going to get more specifics tomorrow, and my insurance coordinator is on the ball also...

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CCRNonherway    78

CCRNonherway
Posted

Just submit what they want. No need to "fight" anything at this point. They have very specific requirements, so make sure all paperwork is sent in. Same thing happened to me. Once paperwork was submitted it took about a week for approval.

The positive thing is that they didn't deny you or a medical reason--that's where the fight comes in! Good luck!

Sent from my iPad using VST

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karpouzian    94

karpouzian
Posted

Uhh, :( should be Thursday at this point (per the Customer Service Rep)...

I guess I'll keep at it 'till then.

Then the testing, and assuming that all turns out ok, then we have the surgery...

Still hoping for the middle of July, but I guess we'll see.

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CCRNonherway    78

CCRNonherway
Posted

Uhh' date=' :( should be Thursday at this point (per the Customer Service Rep)...

I guess I'll keep at it 'till then.

Then the testing, and assuming that all turns out ok, then we have the surgery...

Still hoping for the middle of July, but I guess we'll see.[/quote']

Don't lose hope! Just keep playing the game and give them exactly what they want. Good luck!

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karpouzian    94

karpouzian
Posted

Don't lose hope! Just keep playing the game and give them exactly what they want. Good luck!

I'm not losing hope, just whining ;)

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