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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

Aetna and Cigna - The two junk companies for Penile Implants

Well this sucks, my company just went with Cigna or the next year...

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.

Cigna and Aetna are useless for implant coverage

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.

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

Keep us posted please

Cigna approved me but it took work by the doctor. There are many different Cigna policies.

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