Question:
Cigna PPO/PPA in the EDS group plan?

What difficulties did you have in getting approval? Do you have any advise in getting approval? Would I get approval quicker if I had an Attorney deal with Cigna?    — cynthia C. (posted on August 1, 2002)

August 1, 2002
I had Cigna PPO. I was approved the first time, with in a 3 week period. Hope this helps
   — Valerie M.

August 1, 2002
I also had some problems with Cigna....I kept getting the run around from them, kept being told that my paperwork was in review and would have an answer within 15 working days...15 working days came and went and then the 15 became 20, then 30, etc. I finally got a manager's help who kind of got things rolling a bit, but when that wasn't moving fast enough either, I started doing some research to find out who the higher-ups are with Cigna, got some names of CEO's and Directors and would you believe that I got an answer the next day. Although it was not the answer that I wanted...I was denied...but it was an answer. The worst part was the waiting and not knowing what the outcome was going to be and being that I got an answer late afternoon on a Tuesday and my surgery was for that Thursday morning, I was a bit relieved. I did know deep down that it was going to be denied the first time around because I kept hearing horror stories about Cigna from people in this area that have used them (or tried to). I do plan on appealing this and will take it as far as I have to go to try and get this approved. I do wish you luck...don't give up because I know how frustrating it can be, but just keep calling, try to get as many people to help you as you can and eventually persistence will pay off - hopefully the outcome will all the worth it.
   — Giovanna G.

August 1, 2002
I also forgot to add that you should get in touch with the Insurance Commissioner and file a complaint. The amount of time they are taking to make a decision is absolutely ridiculous. Have you checked your benefits manual? Is there a time limit where they have to give you a decision on pre-certification? If so, then you definitely have a major complaint on your hands. Either way, I would get in touch with your state's insurance commissioner.
   — Giovanna G.

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