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What to do if denied?

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Ok, I will try this again. Don't think I posted right the first

time.

I found out 2 days ago that I was denied after just faxing in Dr.

R's

letter the day before. The insurance co. told me that there was a

clause in my group benefits that said no weight loss surgery would be

paid for by Cigna. Has anyone else been down this road? Do I have

any hope in getting this turned around to maybe being in my favor?

My

insurance is CIGNA HEALTHSOURCE OF NC. Not happy with them right

now.

So if there is anyone else out there who could give me a little

advice on what to do from here, please post or email me. Thanks a

bunch. I too want to do the dance and see what life is like on the

other side.

June :)

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Hi, put Cigna in the search field and see what comes up. A lot has

been written about it lately. I had Cigna and was denied, I even

hired a lawyer and complained to the NC insurance commission.

Becuase it was listed as an exclusion (the exclusion was KK) I

couldn't get them to budge. I am changing insurance this upcoming

enrollment and have already been approved to have the surgery in

January. If you can change plans for next year do that and save

yourself a lot of aggravation. Cigna has approved for many other,

but they were either self-funded plans or weight loss surgery was not

listed as an exclusion. Good Luck. , Denver, NC

> Ok, I will try this again. Don't think I posted right the first

> time.

> I found out 2 days ago that I was denied after just faxing in Dr.

> R's

> letter the day before. The insurance co. told me that there was a

> clause in my group benefits that said no weight loss surgery would

be

> paid for by Cigna. Has anyone else been down this road? Do I have

> any hope in getting this turned around to maybe being in my favor?

> My

> insurance is CIGNA HEALTHSOURCE OF NC. Not happy with them right

> now.

> So if there is anyone else out there who could give me a little

> advice on what to do from here, please post or email me. Thanks a

> bunch. I too want to do the dance and see what life is like on the

> other side.

> June :)

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