Guest guest Posted July 17, 2000 Report Share Posted July 17, 2000 Dear , I do not have Cigna, however my Aetna UsHealthcare has the same exclusion as yours. You are correct when you say that Morbidly Obese could and should be your lucky loophole, it most certainly was mine. The first thing I did was to simply fill out the patient Info form and hit send. (*Make a copy of it,* you will need to take one with you when you go in for your clinic visit.) Call in a day to make sure they received it. Barbara is wonderful but very busy as all the girls are, but they do care! You will then get a letter back from Dr R that will be your copy of the one he sent to the Ins Co. He'll use the info from your form but you'll wonder why your still alive after he makes them realize how serious our morbid obesity is. His nack at wording is fabulous! I then went to my pcp and told her all about the surgery and I was very fortunate that she was all for it, some are not, but she fights the fat war and is understanding. I then called for my mammo and pap appointments. Voila!! it was done. I had to call the Ins Co a lot. They did start giving me the run around but I did get names and I did use them. I went right to pre- cert dept and hooked up with a wonderful woman there. She I feel monitored my case at the very least. I wanted to be more than a name on a form, and I was. It takes persistence to keep following up but do it! The biggest problem with these co's is that they like to say things like we never received your paperwork,or, what did you say your name was??? Well.... before I knew it after two weeks of calling etc... Pre-cert said it was a go. If Dr R is in their network, your chances are excellent. If the hospital is not, your pcp has to ask for a referral saying that Dr R is the only surgeon she/he feels can do the surgery successfully for you. And then they say ok in a lot of cases. It does happen , just hang in there and stay on top of everything. Start that packet for Dr R, that takes awhile for your contacts, I did all mine thru e-mail. Good luck and I'll be thinking of you... My surgery is July 12th. Susie Gordon ________________________________________________________________ YOU'RE PAYING TOO MUCH FOR THE INTERNET! Juno now offers FREE Internet Access! Try it today - there's no risk! For your FREE software, visit: http://dl.www.juno.com/get/tagj. Quote Link to comment Share on other sites More sharing options...
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