Search found 257 matches

by Pamen116
Tue May 07, 2024 2:36 pm
Forum: Implants
Topic: Clavell office and Cigna denial
Replies: 4
Views: 136

Re: Clavell office and Cigna denial

Let me preface this by saying that, in general, I hate insurance companies. They are your friend and glad to take your money until you file a claim. I think I’d suck it up and see a lawyer. I would need to know more about the exclusion. They might get away with not covering a penile implant surgery...
by Pamen116
Tue May 07, 2024 1:07 pm
Forum: Implants
Topic: Cigna declined me
Replies: 19
Views: 1232

Re: Cigna declined me

This blows my mind! - does your surgeon do a lot of implants? A lot of the commercial insurers have really strict criteria and the surgeon has to carefully document the medical need. As mentioned above they may need to do a doc to doc review with the insurance folks. check this out https://static.c...
by Pamen116
Tue May 07, 2024 10:48 am
Forum: Implants
Topic: Clavell office and Cigna denial
Replies: 4
Views: 136

Clavell office and Cigna denial

I need help on what steps to take next guys… I’ve been with a broken implant 2 years now I finally get insurance and they deny it Dr Clavells office is saying there isn’t anything they can do for the insurance exclusion. Unless I’ve had previous health issues such as diabetes or high blood pressure ...
by Pamen116
Mon May 06, 2024 4:08 am
Forum: Implants
Topic: Show and tell malleable
Replies: 4
Views: 410

Show and tell malleable

Hey guys I was wondering if anyone with their malleable implant could share their pros/cons/pictures to this post. I believe having a place where people could access information on malleable opposed to going through several different poses would be great
by Pamen116
Sat May 04, 2024 9:23 am
Forum: Implants
Topic: Cigna denied surgery for Clavell
Replies: 16
Views: 515

Re: Cigna denied surgery for Clavell

Have you talked to Dr.Clavell since the surgery determination ? Does he have a plan B approach with the insurance company? He's seen it all .... in the surgical room and out . He's dealt with all these insurance companies. Hey Journeyman- I have no way to talk with him. I have no email or number- o...
by Pamen116
Wed May 01, 2024 3:29 pm
Forum: Implants
Topic: Cigna denied surgery for Clavell
Replies: 16
Views: 515

Re: Cigna denied surgery for Clavell

I’m stressed out. I can’t believe this company is excluding this surgery. Cigna stated they wouldn’t even do a peer to peer- I hate this. Idk who I should contact next? Maybe my HR department ?
by Pamen116
Wed May 01, 2024 1:38 pm
Forum: Implants
Topic: Cigna denied surgery for Clavell
Replies: 16
Views: 515

Re: Cigna denied surgery for Clavell

Not sure what to do- my implants been broken for a few years and now I finally get insurance to help me and they deny me…. Anyone have a any advice on what I can do? The short version of my story is Dr. Clavell did a " peer to peer " review with the insurance companies Dr representative a...
by Pamen116
Wed May 01, 2024 12:57 pm
Forum: Implants
Topic: Cigna denied surgery for Clavell
Replies: 16
Views: 515

Re: Cigna denied surgery for Clavell

I have Cigna and there are many plans and they approved it. Clavell's office should be working on it. My initial request was denied but then they found it approved under "gender re-assignment." No I did not go w the gender reassignment but it gave Cigna what it needed to approve my implan...
by Pamen116
Wed May 01, 2024 11:41 am
Forum: Implants
Topic: Cigna denied surgery for Clavell
Replies: 16
Views: 515

Cigna denied surgery for Clavell

Not sure what to do- my implants been broken for a few years and now I finally get insurance to help me and they deny me….


Anyone have a any advice on what I can do?
by Pamen116
Sat Apr 27, 2024 12:49 pm
Forum: Implants
Topic: Meeting Dr. Clavell Monday
Replies: 6
Views: 304

Re: Meeting Dr. Clavell Monday

I agree. 3 piece is still on my mind because of size. Anyone have any other feedback on what I should do

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