My doctor recommended an MRI for serious neck pain, he is located in NJ & I live in PA. The usual company he uses, American Imaging, approved the MRI at the local hospital. I wanted to do it closer to home but when the doctors office called for an approval, they were told that another outfit, Med Solutions approves for PA and since I live there they would have to go through them. Less than 24 hours later, Med Solutions disapproved the MRI as "not medically necessary". I have to ask why one company would approve this and the other deny it? Why does an insurance company use multiple companies to do this? I have to guess that Cigna chooses these per who will deny the most in the particular state. I guess I will have to type up yet another Cigna appeal for this. 1 Replies - Latest reply on 04/02/2011Add reply
For 2 years I have been receiving my birth control pill ortho-tri-cyclen lo through home delivery service. I recently had refilled my order and I was sent the generic drug ( Tri-Lo-Sprintec) versus the ... read full review23 Replies - Latest reply on 08/05/2009
Medical Claim Denied
SCRANTON, PENNSYLVANIA -- My daughter is 4 years old and has a tracking problem with her eyes, she was born with it. At 2 years old we had surgery for her at Children's Hospital in Cincinnati, Ohio. Her eyes are much better ... read full review8 Replies - Latest reply on 12/19/2009
MESA, ARIZONA -- I went to a CIGNA facility for a hearing exam and was told I needed a hearing aid in each ear. They told me I am covered for $2000 per ear each 3 contract years, and I was assured by the CIGNA facility ... read full review2 Replies - Latest reply on 04/20/2009
I have had Cigna group insurance with the IEEE for over 15 years. In December 2006, CIGNA determined that all members plus their dependents will be forced out of the group when the member turns 65, without regard to the age or health of the dependents. My 63 year wife will be forced out of insurance and into the state high risk pool. No delay time, no COBRA, just out. The risk pool is high cost, high deductible, and low coverage and will not cover her bipolar condition.
3 Replies - Latest reply on 12/11/2006Add reply
An IEEE member for over 38 years
HOUSTON, TEXAS -- I attempted to see a hand specialist but was told by my primary care physician that I needed to confirm the referral directly with your office. At approximately 2:00 p.m.,one of your representatives informed me that I could see the doctor so I waited in his office for 90 minutes. When I called back to find out what happened to my referral, I was informed that I could not see that doctor.
To help keep me as a potential future customer, I would like the following:
At that time, I asked to see the doctor in question at your company's expense since I had sat in his office all day before anyone figured out why my referral could not be processed. Your representatives were not willing to consider this option, even though it was almost 5:00 p.m. and I had not seen a specialist yet.
Furthermore, given that it was late Friday afternoon before this issue was cleared up, I have been unable to get a referral -- yet alone an appointment -- to see another physician.
Thus, an error on the part of one of your employees is preventing me from recieving timely treatment.
At the very least I would like a response from your company regarding this incident. Thank you for your time.
ROCHESTER, NEW YORK -- I was on the phone, on hold for 45 minutes this morning before talking to a representative. I just want information about when we'll get a payment for time my husband was off back in Sept. You sent a notice of benefits, but that was 11/16 and nothing. Before that you said we should get something within 10 days. They keep referring it to waste management, my husband's employer, but no one there will look in to any thing. Our short term disability plan is supposed to be for 60% of my husband's wage, which would be about 360.00, Yet your notice only is claiming $170 a week will be sent. At this point we're just so frustrated. We've sent all the information in twice and people act like we're bothering them when we ask for help. HELP!!Daniel Connolly and wife Terry Weber. Add reply
Denial of coverage
OAK RIDGE, TENNESSEE -- I just read an article in the LA Times in which Cigna denied a liver transplant to a teenage girl who ultimately died because of it. In the article Cigna boasts of 90% approval for organ transplants. ... read full review16 Replies - Latest reply on 01/04/2008
MOOSIC, PENNSYLVANIA -- I left Cigna on 9/7/13 (gave 2 week notice) they sent my last check to my. However on Monday 12/2/13 I received a letter stating they over paid my by almost 800.00 in PTO days....they want payment in full by 12/12/13. I am so furious that it took them 3 months to figure out that they overpaid me which I request proof of my PTO days that I took and what I was allowed and it will take 7-10 business days. How dare they do this to me. Is there anything I can do about this if I do owe them the money?Add reply
Be very careful with Cigna Health Insurance. They pay for medical services and two years after the billing they ask money returned to the hospital and the hospital bill reaches the consumer asking for payment because the insurance has asked Cigna money back. The person tries to fix the problem with the insurance and they laugh at you and end the person is paying, they are real thieves. 1 Replies - Latest reply on 11/20/2013Add reply
BLOOMFIELD, CONNECTICUT -- For the last 3 months I have been battling this horrible company to approve my short term disability claim. I was taken out of work by my Dr. due to a back injury that is chronic in nature. I also am diagnosed with depression which can be very severe in episodes and very debilitating. On 8/21/13 I took this leave and since returned to work on 10/21 because my claims were denied. I had no other choice...go back to work or lose my home despite the circumstances. I was shuffled from person to person at Cigna and all they basically did was bury me in paperwork and never once did they actually speak to my Dr. I appealed the decision only to find out today it had been denied as well. The company's motto is: "To help the people we serve improve their health, well-being and security." This couldn't be any further from the truth. I would advise anyone looking into this company for insurance to RUN away as fast as you can. Statistically speaking, Cigna denies 1/3 of their claims and seems to be more concerned about their bottom line than the individual. I filed a complaint with the Washington State Insurance Commissioner with the hopes of at least sending this organization a message. For as much as we all pay for insurance in this country it would be nice to know you can count on it when you need it. I'm just utterly disgusted by the way Cigna has treated me and others.
I hope this company gets a big wake up call and finally realizes that it can't go on treating people like this.
They Are Scam Artists
, MISSOURI -- My husband has Cigna Health insurance through work. In January 2013 he was diagnosed with Cardio Myopathy, and was told by his cardiologist that he would need an Internal Cardiac Defibrillator implanted. ... read full review2 Replies - Latest reply on 03/06/2014
WESTON -- 09/12/2013
This medical-management and Medicare affiliate. company offers many nice amenities, free exercise work-out facility access, transportation to medical-dental appointments and a small monthly ... read full review
I have had back surgery and have been out of work for about 6 weeks. I have received one check for my short time disability so far. I have made several attempts and number of hours one the phone and still getting the runaround by Cigna. They take your money every check but don't pay out. 1 Replies - Latest reply on 05/12/2012Add reply