Cigna declined me

The final frontier. Deciding when, if and how.
JohnHC
Posts: 218
Joined: Mon Apr 24, 2023 9:35 am

Re: Cigna declined me

Postby JohnHC » Tue Jul 09, 2024 5:32 pm

duke_cicero wrote:
JohnHC wrote:Contact the implant manufacturer. They usually have people who can help get insurance to pay, or at least let you know what you need to submit to insurance for the best results. My insurance told me, the Dr and hospital it was covered, I then needed immediate revision (done 2.5 months later) and of course then got the letter saying no we aren't covering it. Been fighting them over it since Jan and just got word they are going to cover the previous surgeries, I don't know if they are going to cover this revision I need ( both my first implant and the revision failed ) but hopefully I'll be getting more info next week.


If you know which device you were to get, ams700 or titan usually, then contact the manufacturer of the device and let them know you're trying to get approved for it but insurance is denying it and you would like to have their help in possibly getting it approved. At worst they can say sorry we can't help, but they might be able to point you where you need to go or what information you need to possibly get the decision reversed.
AMS 700 CX 21cm x 12mm with 1.5cm RTE, MS pump, and Conceal Reservoir. Implanted on 4-12-2023 removed and replaced 6-22-23 with the same, 1st implant surgery had pinhole leak in left cylinder, second failure tubing at connector

duke_cicero
Posts: 36
Joined: Tue May 28, 2024 2:58 pm

Re: Cigna declined me

Postby duke_cicero » Tue Jul 09, 2024 7:14 pm

JohnHC wrote:
duke_cicero wrote:
JohnHC wrote:Contact the implant manufacturer. They usually have people who can help get insurance to pay, or at least let you know what you need to submit to insurance for the best results. My insurance told me, the Dr and hospital it was covered, I then needed immediate revision (done 2.5 months later) and of course then got the letter saying no we aren't covering it. Been fighting them over it since Jan and just got word they are going to cover the previous surgeries, I don't know if they are going to cover this revision I need ( both my first implant and the revision failed ) but hopefully I'll be getting more info next week.


If you know which device you were to get, ams700 or titan usually, then contact the manufacturer of the device and let them know you're trying to get approved for it but insurance is denying it and you would like to have their help in possibly getting it approved. At worst they can say sorry we can't help, but they might be able to point you where you need to go or what information you need to possibly get the decision reversed.


Thank you, I'll give this a shot and will report back.
34 years old. ED since age 20 after a bicycle accident. Some luck with pills until recently. Injections worked but were very hit or miss with me. Scheduled for a malleable (Tactra) in December 2024.


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