Guest guest Posted June 3, 2000 Report Share Posted June 3, 2000 For all of those who are fighting with CIGNA I thought you would like to hear their denial letter, from my appeal, that it has taken over a month for them to send to me. " We are acknowledging your request for a pre-estimate of benefits under the above plan for services recommended for you. Based on the information submitted, the plan currently would provide no benefits for treatment of obesity as no other underlying medical condition is documented. Therefore it is excluded under your policy language. Any claim submitted is subject to all provisions of the plan. Including eligibility requirements, and benefit amounts, if any, will be determined on the basis of the facts existing when services are performed. " Now does this make any since to anyone? They received a 40 page appeal letter showing all the co-morbid conditions and all other information, where can they not read the underlying conditions. 250 lbs overweight, Reflux, Hiatal Hernia, Herniated disk, Sleep Apnea, PCOS, hip and feet pain. I could go on and on... this does not make any since to me. The thing is I can't get anyone to send me a copy of my policy book and that is one thing Walter Lindstrom needs to do anything. Any suggestions??? HELP!!!!!!!!!!!! I feel for all of you that have to go through this with CIGNA because it is uncalled for. My prayers are with you all!!! Love Ya {{{HUGS}}} Karla Ikerd MGB Hopeful Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2000 Report Share Posted June 4, 2000 Sounds like my letter from them. They did acknowledge one co-morbidity, though. I went ahead and had the surgery and am now in the appeal process. Elaine from Indiana CIGNA > For all of those who are fighting with CIGNA I thought you would like > to hear their denial letter, from my appeal, that it has taken over a > month for them to send to me. > > " We are acknowledging your request for a pre-estimate of benefits > under the above plan for services recommended for you. > > Based on the information submitted, the plan currently would provide > no benefits for treatment of obesity as no other underlying medical > condition is documented. Therefore it is excluded under your policy > language. > > Any claim submitted is subject to all provisions of the plan. > Including eligibility requirements, and benefit amounts, if any, will > be determined on the basis of the facts existing when services are > performed. " > > Now does this make any since to anyone? They received a 40 page > appeal letter showing all the co-morbid conditions and all other > information, where can they not read the underlying conditions. > 250 lbs overweight, Reflux, Hiatal Hernia, Herniated disk, Sleep > Apnea, PCOS, hip and feet pain. I could go on and on... this does > not make any since to me. The thing is I can't get anyone to send me > a copy of my policy book and that is one thing Walter Lindstrom needs > to do anything. Any suggestions??? HELP!!!!!!!!!!!! > > I feel for all of you that have to go through this with CIGNA because > it is uncalled for. > > My prayers are with you all!!! > > Love Ya > {{{HUGS}}} > Karla Ikerd > MGB Hopeful > > > ------------------------------------------------------------------------ > Failed tests, classes skipped, forgotten locker combinations. > Remember the good 'ol days > http://click.egroups.com/1/4053/2/_/453517/_/960034108/ > ------------------------------------------------------------------------ > > This message is from the Mini-Gastric Bypass Mailing List at Onelist.com > Please visit our web site at http://clos.net > Get the Patient Manual at http://clos.net/get_patient_manual.htm > > > Quote Link to comment Share on other sites More sharing options...
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