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Cigna OAP require 3 or 6 month for approval

JacobsMommy

By JacobsMommy, in Insurance & Financing

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JacobsMommy    27

JacobsMommy
Posted

Thanks SparkleCat...I hate insurance also...hopefully everything will work out for the best for the both of us. :)

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Stacilyn    7

Stacilyn
Posted

I have Cigna. I have to complete 4 consecutive monthly visits. I started in January and just had my last appointment. It is now off to the insurance. My Dr said CIGNA usually doesn't take the 30 days to respond. Good luck!

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Gettinsmall    18

Gettinsmall
Posted

Very new to all of this, I have my first appt with the surgeon on the 24th. I am hoping to get the info I need for the diet so I can go back to my PCP with it. What does insurance want for the 3 month diet? My PCP will do what ever I need him to do. Do they just want documented weights for 3 months with documentation of dietary modification discussion? referral to dietitian? Do they require a certain amount of weight loss during that time?

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Bufflehead    6,358

Bufflehead
Posted

@@JacobsMommy it's very possible that your employer's specific Cigna plan requires 6 months while the standard Cigna plan, without modifications, requires 3. I have Cigna and I know the basic Cigna standard plan is 3 months, but my employer (Tennessee) modified the plan to require six months. So I had to do six months, and that was that. I got there eventually though, and I am sure you will too!

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SparkleCat    521

SparkleCat
Posted

I am officially approved for surgery this Tuesday! My surgeon's office had a peer to peer review and went over paperwork. My PCP had recomended surgery in January, so Cigna used that release and recomendation as a start date for my supervised diet...so I got the 89 days. It is now very real!

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Jersrose43    837

Jersrose43
Posted

That's awesome

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JacobsMommy    27

JacobsMommy
Posted

So far, Cigna isn't requiring me to pay those extra copay fees I've been hearing about; except for the normal $100 copay my insurance require for the hospital stay. Thank God!

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Luckyinluv    30

Luckyinluv
Posted

I have Cigna open access plus and they told me twice that in January they discarded the three months all together. Here I was excited enough to pee my pants and my surgeon office say Noway I had to do three anyway cause I was sure to be denied!! So I did three months and paperwork in at insurance now waiting for Approval!

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JacobsMommy    27

JacobsMommy
Posted

Luckyinluv, that's encouraging! I hope it goes through. Keep me posted :)

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JacobsMommy    27

JacobsMommy
Posted

Alright everyone, I submitted all of my paperwork today. The girl who gave me a big woop to doo did not put up a fight this time, in fact she said she's rooting for me. Then she dropped the bomb...Friday is her last day and the person taking her place is reluctant to submit paperwork. Pray!! I need a quick turn around before this new chick take over...smh always something

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Andrew0929    1,101

Andrew0929
Posted

Alright everyone, I submitted all of my paperwork today. The girl who gave me a big woop to doo did not put up a fight this time, in fact she said she's rooting for me. Then she dropped the bomb...Friday is her last day and the person taking her place is reluctant to submit paperwork. Pray!! I need a quick turn around before this new chick take over...smh always something

I feel for you. My surgeon and his medical staff were great but his insurance coordinator sucks and she has a tude. While it wax painful working with her it all worked out in the end and was approved by Cigna within 7 days.

Best of luck. ...

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Luckyinluv    30

Luckyinluv
Posted

Alright everyone, I submitted all of my paperwork today. The girl who gave me a big woop to doo did not put up a fight this time, in fact she said she's rooting for me. Then she dropped the bomb...Friday is her last day and the person taking her place is reluctant to submit paperwork. Pray!! I need a quick turn around before this new chick take over...smh always something

I had to giggle when I read this!!y insurance gal from the surgeons office is also leaving on maternity leave! You from Indiana by chance??

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JacobsMommy    27

JacobsMommy
Posted

I had to giggle when I read this!!y insurance gal from the surgeons office is also leaving on maternity leave! You from Indiana by chance??

LOL LOL I live Maryland. ..are you waiting for approval also? If so, I guess we'll both sit on pins and needles until we hear from someone.

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JacobsMommy    27

JacobsMommy
Posted

I feel for you. My surgeon and his medical staff were great but his insurance coordinator sucks and she has a tude. While it wax painful working with her it all worked out in the end and was approved by Cigna within 7 days.

Best of luck. ...

LOL LOL the struggle is real! SMH...but your news is pretty awesome! Congratulations! I sure hope my turn around time is that quick.

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