Cigna declined me

The final frontier. Deciding when, if and how.
jdsatx1977
Posts: 18
Joined: Tue Apr 11, 2023 1:33 pm

Re: Cigna declined me

Postby jdsatx1977 » Fri May 10, 2024 7:59 pm

Here is a quick update I am on the second level of heel with a third-party, and I am waiting on a response. I should have some thing by the middle of next week I wrote letters to both Cigna and Clsims appeal fiduciary services Highlighting the discriminatory nature of the exclusion. After that, I hope I get the approval, but if not, I will have to look at another course of action to get them to pay for something that’s covered for another group of people
46 m / ED and PD combo platter / Severe horglassing / working toward getting implanted soon

LastHope
Posts: 219
Joined: Sun Feb 18, 2024 1:26 am

Re: Cigna declined me

Postby LastHope » Fri May 10, 2024 8:08 pm

Aetna and Cigna - The two junk companies for Penile Implants

ViaSwiss
Posts: 608
Joined: Fri May 24, 2019 9:09 am

Re: Cigna declined me

Postby ViaSwiss » Wed May 22, 2024 3:19 pm

Well this sucks, my company just went with Cigna or the next year...
Age 37. Venous Leakage & Post Finasteride Syndrome (PFS) since age 18.
Original Implant | June 25, 2021 | 20cm Titan w 1.5cm & 1cm RTEs
Revision | November 16, 2021 | 26cm | Dr. Hakky

jdsatx1977
Posts: 18
Joined: Tue Apr 11, 2023 1:33 pm

Re: Cigna declined me

Postby jdsatx1977 » Mon May 27, 2024 6:29 pm

Wish I could give more of an update but I am still waiting on Cigna and this other place, Claim Appeal Fiduciary Service, to finish up doing whatever it is they do.

I sent them both, vis certified mail, a letter detailing the discriminatory nature of the exclusion. I got a whole bunch of literature stating Cigna has a non-discriminatory policy so on and so forth. I am pretty sure they were forced to review every detail since I called them on that stuff.

So, now I wait for the Cigna “advocate” to call me back before I take to the state level.
46 m / ED and PD combo platter / Severe horglassing / working toward getting implanted soon

LastHope
Posts: 219
Joined: Sun Feb 18, 2024 1:26 am

Re: Cigna declined me

Postby LastHope » Mon May 27, 2024 8:56 pm

Cigna and Aetna are useless for implant coverage

jdsatx1977
Posts: 18
Joined: Tue Apr 11, 2023 1:33 pm

Re: Cigna declined me

Postby jdsatx1977 » Mon May 27, 2024 9:40 pm

LastHope wrote:Cigna and Aetna are useless for implant coverage


you’re not wrong, my friend. My employer and their infinite wisdom has used both in the past several years We had Humana for a while, and I had no issues with them whatsoever They provided pretty good service at least at the time This is the bullshit that I’m gonna have to put up with. I might as well go to get insurance on my own and not deal with it from work.
46 m / ED and PD combo platter / Severe horglassing / working toward getting implanted soon

LastHope
Posts: 219
Joined: Sun Feb 18, 2024 1:26 am

Re: Cigna declined me

Postby LastHope » Mon May 27, 2024 10:00 pm

jdsatx1977 wrote:
LastHope wrote:Cigna and Aetna are useless for implant coverage


you’re not wrong, my friend. My employer and their infinite wisdom has used both in the past several years We had Humana for a while, and I had no issues with them whatsoever They provided pretty good service at least at the time This is the bullshit that I’m gonna have to put up with. I might as well go to get insurance on my own and not deal with it from work.


Good luck bro,
Those were the words of a billing/claims specialist that works for a leading hospital. I have Aetna and feel the pain

Pamen116
Posts: 261
Joined: Tue Dec 03, 2019 7:33 pm

Re: Cigna declined me

Postby Pamen116 » Tue May 28, 2024 10:42 am

Keep us posted please
30 yrs old. Current IPP failed in 2022. Waiting revision. No insurance. I’ve had both Titan & AMS.

Floridaspeedo
Posts: 300
Joined: Fri Jun 17, 2022 11:15 am

Re: Cigna declined me

Postby Floridaspeedo » Tue May 28, 2024 3:59 pm

Cigna approved me but it took work by the doctor. There are many different Cigna policies.
ED survivor 5 years. Tried pills, Gainswave, PRP, Bi-Mix/Tri Mix (worked 50% but very painful for 24 hours after injection.) 55 Gay - Single Titan Coloplast implanted June 1st, 2022, scrotal in Miami by Dr Billy Cordone..,very happy. Zero regrets

jdsatx1977
Posts: 18
Joined: Tue Apr 11, 2023 1:33 pm

Re: Cigna declined me

Postby jdsatx1977 » Tue May 28, 2024 4:15 pm

I got my appeal confirmation in the mail today from claims appeal fiduciary services Inc. They said they’ll have a final determination by June 6. This is good, but the verbiage of the letter says they were retained by my employer, so I don’t have high hopes for an objective opinion on this one The next step after this is to state and federal because I am not gonna put up with this bullshit
46 m / ED and PD combo platter / Severe horglassing / working toward getting implanted soon


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