Re: Has anyone switched insurance in the middle of this process?

[Guest guest]

,

I've been working with Aetna over the last 3 years - through my first

surgery, orthodontia and now my second surgery, on Thursday.

Initially, my surgeon gave me an $80K estimate - for everything

inclusive. With two different Aetna plans, very little of that has

come out of my pocket. As long as the procedures are validated by a

medical condition (for me that was TMJ) they seem to be very helpful.

Good luck with everything,

Carol

> We just learned that Cigna will not pay for this procedure or the

> hospital costs. But I am not going to be ready for the surgery until

> 2006. So I am considering switching insurance companies to see if

the

> new company will pay for it. Has anyone done this? Can I ask which

> insurance companies are better at paying for this type or surgery. I

> know Aetna is another option through my husband's company.

>

>

[Guest guest]

It might be worth your while, and your $$$ to find a lawyer who

specialises in such, and ask him to fire off a letter (for which you

would pay) to demand a review.

Two other suggestions: Get your surgeon involved, and get the human

resources department at your workplace involved, as well..

C.

[Guest guest]

Diane~

I totally understand your frustration. My husband also works for the

largest hospital management company in the country and they have

HORRIBLE insurance. Cigna does not pay for anything. We do not have

the rider at this point but need to check to see if that will change

anything with regards to the coverage of this procedure.

Good luck to you.

> > We just learned that Cigna will not pay for this procedure or

the

> > hospital costs. But I am not going to be ready for the surgery

until

> > 2006. So I am considering switching insurance companies to see

if the

> > new company will pay for it. Has anyone done this? Can I ask

which

> > insurance companies are better at paying for this type or

surgery. I

> > know Aetna is another option through my husband's company.

> >

> >