Re: Any Cigna patients out there?

[Guest guest]

,

I have Cigna (my husband is a Dupont retiree). Until 2 months ago Dupont had

Healthsource Insurance but then it changed to Cigna. I don't know if

Healthsource lost the contract or changed to being under Cigna's umbrella or

what.

Is your Cigna through Dupont?

I am in the very beginning stages of the process. I got bad news this

morning at my PCP. I'm severely anemic and have a B-12 deficiency so they

won't recommend me for surgery until my blood levels are normal. They expect

it to take at least 6 weeks to have that happen. All that takes place before

I even see Dr R.

Did you have a fairly easy process being qualified by Cigna? What was your

height and weight? Any suggestions on how to smooth the process?

Thanks - Janice

[Guest guest]

Dear Debbie,

I have Cigna PPO. Dr. Rutledge IS in Cigna's network as is

Durham Regional Hospital. So, who is giving you the information that

the above is not true? The only major problem that I have had with

Cigna is that they drag their proverbial behinds, but other than that

I have not had any problems with them. I didn't even have to send an

appeal letter. Sorry I am not an attorney, but regardless I hope

this shines a little light. Hang tough, Girl!

Love,

> Hi friends,

> I know quite a few of you were covered by Cigna, but how many were

covered by

> going out of network? They are telling me they will not let us go

out of

> network because a surgeon in network performs the " same " surgery.

After

> convincing them that it is NOT the same surgery, I'd like to be

able to say

> that Cigna has gone out of network before for Dr R. They did admit

that WLS

> IS covered, so that is good, at least.

>

> Any attorneys out there? Do I suggest, in my strongly worded third

letter to

> them that we will be contacting an attorney?

>

> Thanks again, guys!

>

> Regards,

> Debbie in IL

[Guest guest]

Dear Janice,

No, my insurance is not through Dupont. My husband works for an

ABC affiliate (in Florida) and all of their 'business' is conducted

through Diversified Communications, in Maine.

I am sorry to hear of your anemia. Try and be a good girl and

eat your spinach and raisins....smile, or, maybe take lots of Iron

pills. (Did they give you any prenatal vitamins?) Then get busy

taking those B-complex. (I think they work better when taken with the

other 'b's) Are you in NC? Is that how you are able to see Dr. R?

Cigna was fairly easy. Just remember to stay on their cases

because they do tend to be bogged down in caseloads. Also remember

that YOU hired them, not the other way around. My BMI is over 40

(it's 43) which fits me in the AMA's definition of morbidly obese.

Have you sent in your information over the internet to Dr. R? (The

patient information form) If not, do that first. Dr. R's letter

will expedite your 'cause' and get the insurance's attention. Take

care and take your vitamins! See you on the other-side.

Love,

Surg scheduled for July 19th

With my sis, Joyce

> ,

>

> I have Cigna (my husband is a Dupont retiree). Until 2 months ago

Dupont had

> Healthsource Insurance but then it changed to Cigna. I don't know

if

> Healthsource lost the contract or changed to being under Cigna's

umbrella or

> what.

>

> Is your Cigna through Dupont?

>

> I am in the very beginning stages of the process. I got bad news

this

> morning at my PCP. I'm severely anemic and have a B-12 deficiency

so they

> won't recommend me for surgery until my blood levels are normal.

They expect

> it to take at least 6 weeks to have that happen. All that takes

place before

> I even see Dr R.

>

> Did you have a fairly easy process being qualified by Cigna? What

was your

> height and weight? Any suggestions on how to smooth the process?

>

> Thanks - Janice

[Guest guest]

Hi ,

Thanks a lot! Cigna is saying he is out of network because he is not in my

state, ie. he is out of the " Illinois network " for Illinois patients. I am

working on appeal letter number 2! Next comes an attorney.

Regards,

Debbie in IL

In a message dated 6/14/00 5:19:45 AM Pacific Daylight Time,

SpecialAngel36@... writes:

<<

Dear Debbie,

I have Cigna PPO. Dr. Rutledge IS in Cigna's network as is

Durham Regional Hospital. So, who is giving you the information that

the above is not true? The only major problem that I have had with

Cigna is that they drag their proverbial behinds, but other than that

I have not had any problems with them. I didn't even have to send an

appeal letter. Sorry I am not an attorney, but regardless I hope

this shines a little light. Hang tough, Girl!

Love,

> Hi friends,

> I know quite a few of you were covered by Cigna, but how many were

covered by

> going out of network? They are telling me they will not let us go

out of

> network because a surgeon in network performs the " same " surgery.

After

> convincing them that it is NOT the same surgery, I'd like to be

able to say

> that Cigna has gone out of network before for Dr R. They did admit

that WLS

> IS covered, so that is good, at least.

>

> Any attorneys out there? Do I suggest, in my strongly worded third

letter to

> them that we will be contacting an attorney?

> >>

[Guest guest]

Hi ,

This is a good idea, but our PCP is on vaca and actually we haven't even

spoken to her yet! I did send a mountain of papers to her, though, so she

can read through everything before we meet with her. My husband will go with

me and to help plead our case.

In the meantime, the IL Dr that Cigna said does the " same " surgery emailed me

today to say that he does a lap roux-en-y, so I sent out my 2nd appeal with

both barrels blazing!

Regards,

Debbie in Il

In a message dated 6/14/00 5:45:16 PM Pacific Daylight Time, gardiner@...

writes:

<< After thought. Debbie also if you have a good relationship with you

PCP, have him write you aletter saying he referred you to Dr. R and

the reasons why. This might help your case to have a referral from

an

in network physician.

>>

[Guest guest]

Hi ,

This is a good idea, but our PCP is on vaca and actually we haven't even

spoken to her yet! I did send a mountain of papers to her, though, so she

can read through everything before we meet with her. My husband will go with

me and to help plead our case.

In the meantime, the IL Dr that Cigna said does the " same " surgery emailed me

today to say that he does a lap roux-en-y, so I sent out my 2nd appeal with

both barrels blazing!

Regards,

Debbie in Il

In a message dated 6/14/00 5:45:16 PM Pacific Daylight Time, gardiner@...

writes:

<< After thought. Debbie also if you have a good relationship with you

PCP, have him write you aletter saying he referred you to Dr. R and

the reasons why. This might help your case to have a referral from

an

in network physician.

>>

[Guest guest]

Thanks , I hadn't heard about that site.

Regards,

Debbie in IL

n a message dated 6/14/00 6:10:20 PM Pacific Daylight Time, gardiner@...

writes:

<< Debbie, go to obesitylaw.com or talk summons she

may be able to give you some advice she is an attorney.

good luck

>>

[Guest guest]

After thought. Debbie also if you have a good relationship with you

PCP, have him write you aletter saying he referred you to Dr. R and

the reasons why. This might help your case to have a referral from

an

in network physician.

> > Hi friends,

> > I know quite a few of you were covered by Cigna, but how many

were

> covered by

> > going out of network? They are telling me they will not let us

go

> out of

> > network because a surgeon in network performs the " same "

surgery.

> After

> > convincing them that it is NOT the same surgery, I'd like to be

> able to say

> > that Cigna has gone out of network before for Dr R. They did

admit

> that WLS

> > IS covered, so that is good, at least.

> >

> > Any attorneys out there? Do I suggest, in my strongly worded

third

> letter to

> > them that we will be contacting an attorney?

> > >>

[Guest guest]

After thought. Debbie also if you have a good relationship with you

PCP, have him write you aletter saying he referred you to Dr. R and

the reasons why. This might help your case to have a referral from

an

in network physician.

> > Hi friends,

> > I know quite a few of you were covered by Cigna, but how many

were

> covered by

> > going out of network? They are telling me they will not let us

go

> out of

> > network because a surgeon in network performs the " same "

surgery.

> After

> > convincing them that it is NOT the same surgery, I'd like to be

> able to say

> > that Cigna has gone out of network before for Dr R. They did

admit

> that WLS

> > IS covered, so that is good, at least.

> >

> > Any attorneys out there? Do I suggest, in my strongly worded

third

> letter to

> > them that we will be contacting an attorney?

> > >>