Re: Cigna: round 3 (or is it 4?)

[Guest guest]

> Ah, there's nothing like returning home from a nice family vacation

only to find another DENIAL letter from CIGNA. AAAARRRGH!!! I am

totally dumbfounded and disheartened! First I need to vent, then I

have some questions for ya'll...

>

> " The Appeals Committee contained a physician who specialized in

Internal Medicine. " Uh, what does this have to do with my case and

why would I want an internist making decisions about my baby's heads?!

>

> They are still rejecting the efficacy of DOC bands by vaguely

referencing journals. Here's what they referenced: " controlled

studies published in refereed medical journals " and " national reviews

by several sources " . Why is it that I had to submit carefully

documented references with my appeals, yet they can get away with

this?!?!?!?!?!?

>

> I'm fuming...

>

> Now for my questions about external reviews...

>

> 1. Does anyone know anything about Plus in Philadelphia or

Medical Care Management Corp. in Bethesda, land? These are the 2

independent reviewers that we have to choose from.

> 2. How long does an external review take?

> 3. How do independent review organizations make their money? I'm

curious about this since Cigna is the one providing us the

information about them.

>

> My husband is calling the attorney in the morning because he is

sick of dealing with Cigna, so I want to hear from any of you who

have gone through an external review to find out if it is quick

enough for us to take the time to do it or if you would recommend

handing it over to a lawyer at this point. (sorry about the run-on

sentence). I'll definitely be calling " on behalf of the appeal

committee " , but I know she won't do anything for me. It'll just make

me feel better.

>

> Ok everyone, here's where I need all your kind words of support and

encouragement. I'm sure I would have given up a long time ago if it

weren't for the help you've given me, so please don't stop now. Am I

pitiful or what!?

>

> Gail, Sam and Sara's mom, enraged Cigna crusader

[Guest guest]

Gail -

I think you have to go through the review. Here in Ohio, I just

sent a letter and that was it. It was all done. Nobody called or

anything. Of course I was denied again.

Go get 'em!

Dane's mom

DOC Grad

> Ah, there's nothing like returning home from a nice family

vacation only to find another DENIAL letter from CIGNA.

AAAARRRGH!!! I am totally dumbfounded and disheartened! First I

need to vent, then I have some questions for ya'll...

>

> " The Appeals Committee contained a physician who specialized in

Internal Medicine. " Uh, what does this have to do with my case and

why would I want an internist making decisions about my baby's

heads?!

>

> They are still rejecting the efficacy of DOC bands by vaguely

referencing journals. Here's what they referenced: " controlled

studies published in refereed medical journals " and " national

reviews by several sources " . Why is it that I had to submit

carefully documented references with my appeals, yet they can get

away with this?!?!?!?!?!?

>

> I'm fuming...

>

> Now for my questions about external reviews...

>

> 1. Does anyone know anything about Plus in Philadelphia or

Medical Care Management Corp. in Bethesda, land? These are the

2 independent reviewers that we have to choose from.

> 2. How long does an external review take?

> 3. How do independent review organizations make their money? I'm

curious about this since Cigna is the one providing us the

information about them.

>

> My husband is calling the attorney in the morning because he is

sick of dealing with Cigna, so I want to hear from any of you who

have gone through an external review to find out if it is quick

enough for us to take the time to do it or if you would recommend

handing it over to a lawyer at this point. (sorry about the run-on

sentence). I'll definitely be calling " on behalf of the

appeal committee " , but I know she won't do anything for me. It'll

just make me feel better.

>

> Ok everyone, here's where I need all your kind words of support

and encouragement. I'm sure I would have given up a long time ago

if it weren't for the help you've given me, so please don't stop

now. Am I pitiful or what!?

>

> Gail, Sam and Sara's mom, enraged Cigna crusader

[Guest guest]

Gail:

AARRGGHH for you Just what you didn't want to see in your mailbox

after a nice getaway (what'd you do if I can be so nosey?). I am

really sorry I can't offer any answers to your questions, but I just

want to tell you to keep fighting - get those suckers!!!!!

Debbie Abby's mom DOCgrad

MI

>

> > Ah, there's nothing like returning home from a nice family

> vacation only to find another DENIAL letter from CIGNA.

> AAAARRRGH!!! I am totally dumbfounded and disheartened! First I

> need to vent, then I have some questions for ya'll...

> >

> > " The Appeals Committee contained a physician who specialized in

> Internal Medicine. " Uh, what does this have to do with my case and

> why would I want an internist making decisions about my baby's

> heads?!

> >

> > They are still rejecting the efficacy of DOC bands by vaguely

> referencing journals. Here's what they referenced: " controlled

> studies published in refereed medical journals " and " national

> reviews by several sources " . Why is it that I had to submit

> carefully documented references with my appeals, yet they can get

> away with this?!?!?!?!?!?

> >

> > I'm fuming...

> >

> > Now for my questions about external reviews...

> >

> > 1. Does anyone know anything about Plus in Philadelphia or

> Medical Care Management Corp. in Bethesda, land? These are the

> 2 independent reviewers that we have to choose from.

> > 2. How long does an external review take?

> > 3. How do independent review organizations make their money?

I'm

> curious about this since Cigna is the one providing us the

> information about them.

> >

> > My husband is calling the attorney in the morning because he is

> sick of dealing with Cigna, so I want to hear from any of you who

> have gone through an external review to find out if it is quick

> enough for us to take the time to do it or if you would recommend

> handing it over to a lawyer at this point. (sorry about the run-on

> sentence). I'll definitely be calling " on behalf of the

> appeal committee " , but I know she won't do anything for me. It'll

> just make me feel better.

> >

> > Ok everyone, here's where I need all your kind words of support

> and encouragement. I'm sure I would have given up a long time ago

> if it weren't for the help you've given me, so please don't stop

> now. Am I pitiful or what!?

> >

> > Gail, Sam and Sara's mom, enraged Cigna crusader

[Guest guest]

Re: Cigna: round 3 (or is it 4?)

> Gail:

> AARRGGHH for you Just what you didn't want to see in your mailbox

> after a nice getaway (what'd you do if I can be so nosey?). I am

> really sorry I can't offer any answers to your questions, but I just

> want to tell you to keep fighting - get those suckers!!!!!

> Debbie Abby's mom DOCgrad

> MI

>

Debbie,

Thanks, I need the encouragement right now. Today is the first time I have

cried throughout this entire process, which started clear back on Feb. 20th

when we got our first referral.

You're not nosey - we went to San . We spent a day at Sea World and

some time at the Alamo and on the famous RiverWalk. My husband won an award

through work which included vouchers for Marriott Hotels. They expire on

the 31st of this month, so we actually were spontaneous and decided on

Thursday afternoon that we would leave on Friday. Can you imagine getting

my 3 kiddos packed in less than a day? It was great. We had a $300 room on

the 26th floor overlooking the RiverWalk, and it included room service, tax

and gratuity. The only money we spent was at Sea World. The worst part

(and some may argue with me about this) was that the Dallas Cowboys were

staying in our hotel and it was a circus! We're not fans - we prefer

college sports over professional sports any day! Oh well. We tried to sign

a few autographs, but they just didn't believe that we were part of the

team.

By the way and speaking of getaways, these crazy texans have decided to

drive to Michigan next month. When the time gets closer, I'm gonna need a

weather forecast from you.

Gail, Sam and Sara's mom, DOC grads