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Re: Illinois and Cigna

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>

I am looking for anyone who has had DS through Cigna PPO or HMO and

what Dr. did you use.

I had Cigna PPO and used Dr. Anthone. I originally had HMO. I was

denied a consult with Dr. A, because he was considered out of network

by the IPA (independant provider association)I then changed primary

care physicians to one that was in the same IPA that DR. anthone is

in. That is how I got my consult while on HMO.

I switched to PPO because all the research that i could find

indicated that it was much harder to get approved by Cigna HMO, and

easier with PPO, which is how it turned out. Once the change occured,

it took about 2-3 weeks to get the surgery approval.

The first hurdle is to find out whether weight loss surgery is

excluded in your policy, orapproved if medically necessary.

Hope this helps!

Ellen

DS 2/14/01 310

dr. Anthone

8/31/01 227

- 83 lbs

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Dear Edie:

I live in WI, have Cigna PPO, had my DS approved on the first try in

12-3-99, and just had a revision approved in June of 2001 on the first try.

My Doctor both times was Dr Gagner in New York.

Patti

----- Original Message -----

>

> Hi I am new to this list and live in Crystal Lake Illnois, I am

> looking for anyone who has had DS through Cigna PPO or HMO and what

> Dr. did you use. I have had three cousins who have used Dr Rabkin,

> but he is just to restrictive on his insurances, and Dr Kershishian

> is not Cigna approved yet. Any help would be greatly appreciated,

> please feel free to email me privately also.

>

> Thanks Edee

>

>

>

> ----------------------------------------------------------------------

>

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I have Cigna through Intel... and I was approved after my second

appeal, but not because of DS, but qualification stuff.

My profile on AMOS is

http://www.obesityhelp.com/morbidobesity/profile.phtml?N=K983310249

> Dear Edie:

> I live in WI, have Cigna PPO, had my DS approved on the first try in

> 12-3-99, and just had a revision approved in June of 2001 on the

first try.

> My Doctor both times was Dr Gagner in New York.

> Patti

> ----- Original Message -----

>

> >

> > Hi I am new to this list and live in Crystal Lake Illnois, I am

> > looking for anyone who has had DS through Cigna PPO or HMO and

what

> > Dr. did you use. I have had three cousins who have used Dr

Rabkin,

> > but he is just to restrictive on his insurances, and Dr

Kershishian

> > is not Cigna approved yet. Any help would be greatly appreciated,

> > please feel free to email me privately also.

> >

> > Thanks Edee

> >

> >

> >

> >

----------------------------------------------------------------------

> >

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