Search found 15 matches

by jdsatx1977
Fri May 10, 2024 7:59 pm
Forum: Implants
Topic: Cigna declined me
Replies: 21
Views: 1401

Re: Cigna declined me

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 ho...
by jdsatx1977
Sat Apr 13, 2024 10:33 pm
Forum: Implants
Topic: Cigna declined me
Replies: 21
Views: 1401

Re: Cigna declined me

Here’s a little update. I am taking my employer, and Cigna, to task on this one. I made it a point to scrutinize the exclusion, and looked at covered options. My employer covers gender reassignment procedures, and this included the IPP. I asked why I am being excluded, and pointes that out so it loo...
by jdsatx1977
Sat Mar 30, 2024 5:16 pm
Forum: Implants
Topic: Cigna declined me
Replies: 21
Views: 1401

Re: Cigna declined me

So, a bit of an update.

Cigna has an “advocate” helping with the appeals process. Might hear something more next week. Boston Scientific has a type of patient support team that is a little helpful as well.

Here’s to hoping things get done soon.
by jdsatx1977
Sun Mar 24, 2024 12:40 pm
Forum: Implants
Topic: Cigna declined me
Replies: 21
Views: 1401

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 jdsatx1977
Thu Mar 21, 2024 6:59 pm
Forum: Implants
Topic: Cigna declined me
Replies: 21
Views: 1401

Re: Cigna declined me

Honestly, I’m not surprised in the least, but I am disappointed. My employer here in San Antonio decided it will be an excellent idea to switch over to CIGNA I wish we had some singing in the matter over here because this was a very poor decision by our benefits people Out of curiosity, has anybody...
by jdsatx1977
Wed Mar 20, 2024 3:50 pm
Forum: Implants
Topic: Cigna declined me
Replies: 21
Views: 1401

Cigna declined me

Honestly, I’m not surprised in the least, but I am disappointed. My employer here in San Antonio decided it will be an excellent idea to switch over to CIGNA I wish we had some singing in the matter over here because this was a very poor decision by our benefits people Out of curiosity, has anybody ...
by jdsatx1977
Sat Jan 20, 2024 8:01 pm
Forum: Implants
Topic: Aetna Private Insurance through Employer
Replies: 3
Views: 236

Re: Aetna Private Insurance through Employer

Has anyone had an implant using Aetna Private Insurance that is provided by your employer?? I am just trying to see if they cover the surgery. I called and the rep said they do but requires preauthorization. I called the doctors office and was told they generally reject covering it when its a priva...
by jdsatx1977
Wed Jan 03, 2024 7:19 pm
Forum: Implants
Topic: Implant/VEDs
Replies: 8
Views: 480

Re: Implant/VEDs

My doc said for me to do so before surgery, but was not keen post surgery.
by jdsatx1977
Wed Jan 03, 2024 11:19 am
Forum: Implants
Topic: Wrong diagnosis code
Replies: 4
Views: 220

Re: Wrong diagnosis code

Be careful i had Cigna with my first one they okayed it... conformation # whole bit then 3 days before surgery on a Friday got a letter said its not covered Talked with Doc and Hospital said they cant do that .... went a head had surgery got stuck with a 89k dollar bill from the hospital i paid for...
by jdsatx1977
Wed Jan 03, 2024 9:30 am
Forum: Implants
Topic: AMS and Peyronies
Replies: 9
Views: 429

Re: AMS and Peyronies

I am in the same boat, but have the hourglass deformation as opposed to a curve. My doc seems confident the ams cx would work best for me. I wonder if anyone else has had good result: with the hourglass being resolved after getting the cx implanted?

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