I’m sorry this has happened. That’s awful.
When you are ready to look at next steps, research if you have any other options for healthcare plans. Contact them and ask for a copy of the policy. Then check the exclusions page.
Ask your surgeon’s office staff which insurance policy they have good luck getting coverage.
Then switch to a better plan if that’s an option for you.
Cigna declined me
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- Posts: 1305
- Joined: Sun Jun 16, 2019 1:07 pm
Re: Cigna declined me
57yo, NYC. ED started at 40. Pills, then shots for 10 years. 24cm Coloplast Titan XL w/classic pump by Dr Eid 3/25/2025. Will meet for show & tell.
Implant journal: [url] viewtopic.php?f=6&t=26225[/url]
Implant journal: [url] viewtopic.php?f=6&t=26225[/url]
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- Joined: Tue Apr 11, 2023 1:33 pm
Re: Cigna declined me
GoodWood wrote:I’m sorry this has happened. That’s awful.
When you are ready to look at next steps, research if you have any other options for healthcare plans. Contact them and ask for a copy of the policy. Then check the exclusions page.
Ask your surgeon’s office staff which insurance policy they have good luck getting coverage.
Then switch to a better plan if that’s an option for you.
We are an open enrollment at my work and they refuse to address the disparity and coverage. So between my employer and Cigna they really have screwed a whole bunch of people over including me and it sucks. I’ve tried federal complaints because of the situation but due to the current climate, nothing is gonna get done so I’m either left with being incomplete in a manner of speaking or hoping some Rich relative just dumped some money on me so I can pay out-of-pocket and give my employer the finger.
I’m about five seconds away from starting to go fund me, but I don’t want that many people know in my business this is terribly depressing
46 m / ED and PD combo platter / Severe horglassing / working toward getting implanted soon
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- Posts: 1305
- Joined: Sun Jun 16, 2019 1:07 pm
Re: Cigna declined me
If you are in open enrollment, contact the different insurance companies and ask them to email a copy of the policy with its coverage and exclusions. They will do this. It’s common to ask for this so employees can decide which coverage is best for them.
Then look at the coverage and particularly the exclusion page. The exclusion page is very important. If they won’t cover penile implant this is probably where you will find that info.
I have BCBS and assumed I would be denied coverage because I had previously seen a clause that said they don’t cover treatment for sexual function. But when I closely read the exclusion page it said they don’t cover treatment for sexual function EXCEPT surgical implantation of penile prosthesis for erectile dysfunction.
I had to pay a percentage which ended up being around $6000 but that’s beater than nothing.
And a call to your surgeons office about which I sirance companies that have good luck with may be helpful.
Hopefully you will have an insurance option that will provide coverage. Check it out and see.
Then look at the coverage and particularly the exclusion page. The exclusion page is very important. If they won’t cover penile implant this is probably where you will find that info.
I have BCBS and assumed I would be denied coverage because I had previously seen a clause that said they don’t cover treatment for sexual function. But when I closely read the exclusion page it said they don’t cover treatment for sexual function EXCEPT surgical implantation of penile prosthesis for erectile dysfunction.
I had to pay a percentage which ended up being around $6000 but that’s beater than nothing.
And a call to your surgeons office about which I sirance companies that have good luck with may be helpful.
Hopefully you will have an insurance option that will provide coverage. Check it out and see.
57yo, NYC. ED started at 40. Pills, then shots for 10 years. 24cm Coloplast Titan XL w/classic pump by Dr Eid 3/25/2025. Will meet for show & tell.
Implant journal: [url] viewtopic.php?f=6&t=26225[/url]
Implant journal: [url] viewtopic.php?f=6&t=26225[/url]
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