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, I had the same questions that you had.

I'm the woman you spoke of in your email. I DO have to be referred.

I sent my online form on Monday of last week. The same day Dr R wrote a

letter to my insurance company asking for approval.

The next day I called Debbie at Dr R's office. She said that my insurance

company would probably refuse to consider the letter UNTIL I had at least

seen Dr R for a consultation. So I immediately wrote my PCP and faxed to him

asking that he give me a " referral for a consultation. " I am waiting for my

anemia to get under control before my PCP will give me an ACTUAL referral for

the surgery.

I called CIGNA on Thursday and asked them if I was approved (Dr. R's letter

was faxed to them 3 days prior). They at first said they hadn't received it.

After I confronted them with a lot of documentation they " found " the faxed

letter but then told me (as Debbie predicted) that they wouldn't consider the

request until I had a consultation with Dr. R.

So CIGNA apparently will not consider a request for the surgery until you

have a consultation with Dr R.

I hope this info helps you.

Janice

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