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]

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]

Debbie, go to obesitylaw.com or talk summons she

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

good luck

> > 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?

> > >>