Guest guest Posted September 1, 2000 Report Share Posted September 1, 2000 WTG Elaine, That is some good news so maybe there is hope for me and my Cigna. I am trying to get up the money to have it and then have them reimburse me too. (((Elaine))) and : ) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2000 Report Share Posted September 1, 2000 Just wanted to let everyone know that my insurance (CIGNA) has changed their minds and is going to reimburse me for my surgery. They changed their mind on the second appeal. I had surgery May 24. I don't think you lose any leverage by being a self-pay. I was able to show the insurance company the results---blood pressure down and a doctor that believes my cholestrol will come down also. Elaine in Indiana Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2000 Report Share Posted September 1, 2000 Hi elaine, can you tell me what appeal letters did you use and was yours an excluded benefit?hugs marg Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2000 Report Share Posted September 1, 2000 Congratulations, Elaine....that's wonderful news!!! Tricin in iL Elaine Enders-Long wrote: > > Just wanted to let everyone know that my insurance (CIGNA) has changed their > minds and is going to reimburse me for my surgery. > They changed their mind on the second appeal. I had surgery May 24. > I don't think you lose any leverage by being a self-pay. I was able to show > the insurance company the results---blood pressure down and a doctor that > believes my cholestrol will come down also. > Elaine in Indiana > > > > 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 > > To Unsubscribe Send and Email to: MiniGastricBypass-unsubscribe (AT) egroups (DOT) com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2000 Report Share Posted September 1, 2000 > WTG Elaine, That is some good news so maybe there is hope for me and my > Cigna. I am trying to get up the money to have it and then have them > reimburse me too. (((Elaine))) and : ) Hi. I'm Rhonda from Indiana. Elaine and I are friends (old diet buddies too, ask her about the cottage cheese diet sometime)(sorry Elaine, couldn't resist). We work at the same place, have the exact same insurance (Cigna), I am still fighting them to get my surgery done. I was so happy when I found out they had covered Elaine, I thought I would have no trouble because I have a higher BMI and am quite a bit heavier with more co-morbities than Elaine and I have been turned down twice and am starting on the third time now. It is so frustrating how the insurance companies do things. You really can't base anything on what they have done for someone else. I went and talked with our company division director to let him know the problems I have been having with Cigna. He gave me two things to do and told me if Cigna did not respond to let him know and he would make some phone calls himself. He was very supportive of me. Cigna wants me to give up and pay for it myself. NOT GOING TO HAPPEN!!!!! I may pay for it myself, but I am not going to give up on them paying me back. This has probably been one of the hardest things I have had to do. It has really forced me to look at me. Something I have tried to avoid for years. I never realized how much I wanted this surgery until they (Cigna) told me no. I don't want to sound like a real downer, but I also know what it did to me when I thought I was a shoe-in for approval because someone else got it. One day at a time we will all get through this. Bye for now. Rhonda Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 2, 2000 Report Share Posted September 2, 2000 hi rhonda, I will be with you trying to make it one day at a time. I hope cigna starts dealing with us better. I think they want to keep the money for as long as they can, and then in the end we either quit or they finally give in.lol So I am not quiting they have more than me. lol keep me posted on what happens. and maybe we can do the dance together. hugs marg Quote Link to comment Share on other sites More sharing options...
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