FrankTalk.org

Posted: **Wed May 01, 2024 11:41 am**

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?

Posted: **Wed May 01, 2024 12:01 pm**

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 implant.

Joe

Posted: **Wed May 01, 2024 12:57 pm**

Floridaspeedo wrote: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 implant.

Joe

Dr Clavells office advised they would not put “gender reassignment” on legal documents.

Posted: **Wed May 01, 2024 1:24 pm**

Pamen116 wrote: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 and it got approved. Yeah it was stressful but he got it done

Posted: **Wed May 01, 2024 1:38 pm**

Journeyman wrote:
Pamen116 wrote: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 and it got approved. Yeah it was stressful but he got it done

What insurance do you have? My insurance is denying a peer to peer with Clavell because they’re saying it’s excluded

Posted: **Wed May 01, 2024 2:11 pm**

Pamen116 wrote:
Journeyman wrote:
Pamen116 wrote: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 and it got approved. Yeah it was stressful but he got it done

Anthem/ Blue cross

What insurance do you have? My insurance is denying a peer to peer with Clavell because they’re saying it’s excluded

Posted: **Wed May 01, 2024 2:12 pm**

Pamen116 wrote:
Journeyman wrote:
Pamen116 wrote: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 and it got approved. Yeah it was stressful but he got it done

What insurance do you have? My insurance is denying a peer to peer with Clavell because they’re saying it’s excluded

Anthem/ Blue cross

Posted: **Wed May 01, 2024 2:43 pm**

Just be real sure with CIGNA..... on my first implant they said its covered conformation # whole bit 3 days before surgery they sent a letter said the will NOT cover the implant Doc and hospital said they can't do that already have everything said i should just get it done....well got stuck with a 89k bill so just be careful.... l all I'm saying

Posted: **Wed May 01, 2024 3:29 pm**

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 ?

Posted: **Wed May 01, 2024 3:50 pm**

rdnkbiker wrote:Just be real sure with CIGNA..... on my first implant they said its covered conformation # whole bit 3 days before surgery they sent a letter said the will NOT cover the implant Doc and hospital said they can't do that already have everything said i should just get it done....well got stuck with a 89k bill so just be careful.... l all I'm saying

I paid out of pocket $21k for everything.

You got stuck with an $89k bill?

I hope you have 4 dicks.

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Cigna denied surgery for Clavell

Cigna denied surgery for Clavell

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Re: Cigna denied surgery for Clavell

Re: Cigna denied surgery for Clavell

Re: Cigna denied surgery for Clavell

Re: Cigna denied surgery for Clavell

Re: Cigna denied surgery for Clavell