Cigna Puns

I saw a post on here from a year ago that said Cigna denied to cover top surgery because they weren’t getting nipple grafts/reconstruction. Has anyone else had this happen before? What are your experiences with getting top surgery covered with Cigna PPO?

Thank you SO much!!

I can't find it and it's seriously, chronically stuck in my head... anyone know what it's called?

Edit: It's got saxophone and piano. Pretty upbeat and jazzy.

Edit #2: I tried Shazam-ing it…to no avail T^T

Hello Humira users.

I, too, use Humira for my ulcerative colitis since the summer of last year, and it has worked greatly for me. My insurance was Kaiser and I was able to go through the CompleteRebate program and only pay $5/month after reimbursement.

Now, I have just changed my insurance from Cigna and see that the out of pocket cost was $3700 through for a one month use of Humira. If I go through Cigna's copay program, I pay $100. I want to know if anyone else has Cigna as their insurance and how much they have to pay. Can I still do the reimbursement program and pay just the fraction of the cost, or am I SOL?

I am kind of freaking out if I need to pay $100 a month for my medicine. Need to know if I should stick with Kaiser or stay with Cigna.

Any advice would help.

It makes me not want to ever go get my health checked. It's Cigna and if I wanted the better insurance option a few hundred more a month would be taken from my paycheck...

If you are depending on insurance to cover a test, note that Cigna is discontinuing coverage on January 15 unless ordered by a doctor. The "customer advocate"* stated that this could change.

If the testing site asks for insurance info, you may want to double check before stating that you have insurance.

Maybe this is the same for the other big carriers.

*seriously i got lost in the voice response menu thinking that the last person I wanted to speak to was an "advocate"

TLDR: If you are over 65 and on Medicare VSC put you on Medicare Advantage without your knowledge or consent

For those of you over 65, and currently employed by or retired from VSC with health benefits, you have probably been enrolled, without your knowledge or consent, in Medicare Advantage.

As background, I am the spouse of a recently retired VSC employee (who stayed there 18+ years solely for their 'great' health benefits) and was informed this past May that my portion of the coverage had changed; giving only the vaguest of details. But comparing my older Cigna card with the new one showed I went from 'Open Access Plus' ($15 copay, $25 hosp/ER/Urgent, $10-$30 Rx) to 'PPO' (10% hosp, $10% urgent-care, 90%/10% In/Out network).

I gave it little mind until I got a bill for ~$90 for a consult and learned I now have a $250 deductible, where I had none before. Then, I recieved 2 letters from Cigna, the first thanking me for enrolling in "Cigna True Choice Medicare (PPO)" and the 2nd saying that Medicare has approved my enrollment in same PPO plan; starting 1Jan2022.

What neither letter considered mentioning, nor VSC for that matter, was that 'True Choice' (oh, the rub) was in fact Medicare Advantage. I had to sit on hold for nearly an hour, feeling trapped in an elevator, just to speak with a Cigna (claims) rep AND I had to directly ask them that question to find out. Then, after being directed to the "Cigna Medicare" department, I learned that, despite my never knowing about or consenting to enrollment, that I personally could not unenroll from it. That it could only be done through VSC.

So, if you're like me, over 65 and on Cigna, VSC is messing with your Medicare! You may like what Advantage (purports to) offer, you may (like me, think its a privatization shake-down ; but enrollment should always be your choice to make.

I'm concerned that even if I wanted to be on Medicare-Advantage that of the 3 plans available, the one chosen by VSC (for me) may not be the best for me.

https://www.medicalnewstoday.com/articles/medicare-ppo

https://www.medicalnewstoday.com/articles/how-are-ppo-and-hmo-medicare-different

https://www.medicare.gov/plan-compare/

I'm concerned that if I wanted at some point down the road to leave my spouse's health plan VSC's actions could leave me without medicare options, stuck with the Plan they put me on.

Be your own best advocate!

Google "medicare advantage scam"

https://justcareusa.org/the-medicare-advantage-scam-and-beyon

Folks - I'm not getting the right accurate information from Cigna about a claim and gone back and forth with them several times over a month. Does Cigna or health insurance have any escalation contacts? Should I ask my HR who our client executive is?

Thank you

Sorry if this is a dumb question, but for those with Cigna, how much of the cost for SRS was covered? I’m still not quite sure how coverage works lol.

This is a rant and some real first world problem shit. If you or your love one has Crohn's, and you work for Cigna I think you should quit. Cigna is the absolute worse insurance I've ever dealt with. They will not cover my Pantoprazol, which I take because I had side effects on Omeprazole. They made me switch from Remicade to Inflectra. Now they are saying my Azathioprine is a specialty medicine. Two other insurance companies, a pharmacist, and two g.i. docs say no, azathioprine isn't a specialty drug. The specialty pharmacy they want me to use is Accredo, owned by Cigna. Insurance companies shouldn't be allowed to be owned or an "affiliate" of a pharmacy. After I stayed on the phone 2 hours with them and talked with 4 customer service reps, 3 in the pharmacy division, no one could give me a reason why Azathioprine is considered a specialty drug. I also have to take a blood thinner because of a blood clot in a mesenteric artery, waiting for them to deny that now. I wonder if my previous employer will take me back.

I’m reaching out to the Reddit world for this answer that should be simple, but it’s not. We are a start up company that recently added Occupational Therapy to our practice, and we are getting conflicting messages from Cigna as to who the heck is responsible for paying OT claims for Cigna members. Cigna has told us that American Specialty Health (ASH) is responsible for paying, and ASH says that Cigna is responsible for paying. It’s a back and forth and never ending cycle where we can never get a straight answer. Is there anyone out there doing billing for OT who can help??

Is anyone on any of the Cigna "enhanced diabetes" plans? It looks like it would save me $3500-5000 per year on supplies. I would have to change to humalog, but otherwise its looking pretty insane. I do realize that the deductibles and co-insurance aren't great, but for diabetes supplies it looks like a no brainer.

Is anyone currently on this plan and can confirm its a good as it appears to be?

https://www.cigna.com/individuals-families/member-resources/diabetes-insurance-coverage

So I had Cigna last year, but my family's primary care doctor doesn't take it and would like to see him again.

I haven't been fully disappointed with Cigna Connect, but I'm wondering if Ambetter or Anthem would be a better option for me?

Those of you who have marketplace insurance(or has used any of these insurances), what's been your experience.

Thanks

My company is changing dental plans and I can’t stay with my current dentist unless I want to pay 2.5x my current dental coverage. They are giving me the option to choose who I would move to, and there’s two options that seem good, I just want to ask if anyone here has had experience with either of these dentists.

1. Smile Center (5613 Duraleigh road). We’d probably go with Dr. Chad.

2. Cary Dental Group (1500 Piney Plains Rd). We’d probably go with Dr. Nguyen).

Thanks!!!

Curious what kind of experience people have had as healthcare actuaries at these companies. Is there one that’s better to work at than others? Or are they all decently comparable?

So I have the claim to fame of being the first child in the country to be put on remicade over 20 years ago. Since then not a single issue, however cigna is now denying all my appeals and want me to take a biosimilar. Thats just not an option, I'm not changing whats worked for 20 years because they wanna save a buck. Does anyone know which insurance options in texas cover remicade, might have to dump my work provided one.

I thought I could get OTC medicine like vitamins with FSA dollars. But when I submit for reimbursement, Cigna says I need a medical diagnosis from the doctor. Are they wrong?

Hejsan!

I am applying for residency as self supporting in Sweden, and they require I get private health insurance as HMRC as dragging their feet with the S1 form.

Has anyone has success with Cigna Gold insurance WITHOUT any add ons?

Or any alternatives that aren't outrageously priced?

Thanks!

Hello! I made a post a week or two ago when I realized a breast reduction was excluded from care in my insurance plan. I had been told multiple times it was covered so I was really bummed but decided to try to call HR (at the job my insurance is through) to see if they could change just that one exclusion so it would be covered. The lady on the phone said she wasn’t sure but she would check for me. A week later (this morning) she called me back saying the exclusion will be changed to included starting December 1st!! I’m partly excited and partly anxious because now I have to think about actually getting the surgery haha.

But anyway, just wanted to post this to hopefully help if there is someone else in the same situation!

Hello! I got an offer from both NYL and Cigna for Summer 2022 Internship, but I am having difficulties deciding which one to choose. Can anyone share your experiences at either company?

Hello. My stepdaughter (22) is on my employer Cigna ppo, and she got herself on Medicaid near the end of her pregnancy because of he ppo wouldn’t cover her baby once he was born. So now she and he are on Medicaid, but hers should be used as her secondary coverage.

She was told by sunshine health that her Medicaid plan covers only the same things her primary Cigna covers, which is leading to some claims with hefty patient responsibilities on things Cigna isn’t covering. Why would a secondary coverage explicitly cover only the same exact list of things a ppo primary plan covers? Seems like sunshine is wrong. Thanks!

So my mother been in excruciating pain due to her neck, she got an X-ray and was told she has arthritis and referred to pain specialist. She has Cigna connect (really wack) and it’s been very difficult to find any suggestions!?

I am confirmed for surgery in DC at George Washington University Hospital on March 8th 2022 after completing my consult with Dr Ramineni. (He and his staff have been nothing but amazing so far.)

He himself is considered in network for Cigna but there seems to be some tie ups for GW Hospital. Has anybody else dealt with a similar trouble of the location for surgery giving issues for insurance coverage? Solutions to make sure you dont get stuck with a crazy Hospital bill?