Re: Cigna's reply........Debbie

[Guest guest]

Dear Debbie,

Keep going sis, you are almost there.....prayers for you.

Love,

-- In MiniGastricBypass (AT) e, DebLaMan@a... wrote:

> Hi All,

> Well, Nurse Gail called me bright and early to let me know that

" the matter "

> is now being sent to the Chicago " Grievance Dept. " Funny thing, my

2nd

> appeal letter was addressed to the SAME dept--their Ohio branch, as

directed.

> So now our packet snakes its way to yet another area of Cigna. I

got the

> name of the woman now in charge and learned that she will present

our case to

> the Associate Medical Director. I guess Gail was not " high up

enough " to

> approach him on this herself. I kept Gail on the phone long enough

to

> explain the criteria needed to succeed at this level and she said

at this

> point it will have to be deemed a " medical necessity. " When

pressed by yours

> truly on the definition of such, she told me, " It's looking pretty

positive,

> I see a lot of medical necessity here. " After pinning her down to

a

> time-frame for resolution (a few days), I let the nice nurse go.

So again we

> wait.

>

> In the meantime, tomorrow AM we meet with Chris' PCP to see if she

will

> support us. The saga continues........

>

> Regards,

> Debbie in IL

> Counting on Cigna for daughter (BMI 45)

> Ditto for Debbie (BMI 40)