Alrighty, the deadline for the appeal decision has passed and have not heard a peep. Maybe I might see something next week, and hope it is a positive outcome.

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 n...

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...

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 ...

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...

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...

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.

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...

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...

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 ...