Insurance / Cigna

KyleMatthew
on 10/14/10 2:08 pm - Waynesburg, KY
I've had Humana Insurance for a couple of years now, and the policy that we had would never pay for any type of Weight loss surgery!  Now that its open enrollment at work, we are getting a new insurance, its something like Kentucky Health (I forget) but I believe it has something to do with Cigna???  The reason is the dental part of the insurance form had Cigna on it....Does anyone know if this is a form of Cigna insurance does it pay for Gastric By-Pass????  Of course the reps that come to work to help you choose the right plan for you , usually don't know which policy covers it???  I've been thru that before with HUMANA....I always choose the most expensive policy thinking that is the best...but Its never helped before...I do know its a PP0
Anyone have any info?
lisarn
on 10/14/10 3:12 pm - Omaha, NE
It's usually not the actual "brand" of insurance that does or doesn't cover a procedure, it's the employer that usually will say if its covered or not. And it comes down to cost. Your employer pays a ton for your insurance - usually double or more of what your monthly premiums are.
Now a lot of the insurance companies will have levels of coverage for the employer to pick from or tiers. And usually they pick this based on price. They usually don't go with the lowest coverage, but also usually don't go with the highest either. And this isn't just about our surgeries either, but lots of procedures and treatments that are higher priced.
(This is generally what happens, however, some employers pay a lot more, some less, and I am sure that there are some insurance companies that just don't cover certain things as well no matter the plan level)

Best thing I would do if I were you (and I think I will have to do this a couple of weeks when we get our new plan options!), is to call each of the companies and ask them. Explain that you are trying to chose the plan that will best fit your needs and find out if they cover wls and if there are any pre approval things you have to meet.
HW/SW/CW/GW:   294/288/170.2/150  ht: 5'2" (06/03/2012)
                  
julesiglow
on 10/14/10 7:12 pm - Vidalia, GA
In Georgia  there is   a HRA Cigna and it does pay for the surgery. You should be able togo their  web site and get details about it or ask your HR department at work . I waited 5 years for my insurance to change and it finally did. I had surgery in April 2010. Good Luck  and call Cigna for the details.

Finding the Light one day at a Time

    
poet_kelly
on 10/14/10 8:23 pm - OH
Cigna covers gastric bypass.  However, some employers opt out of that coverage.  They save money by not purchasing coverage for WLS.  You'll need to examine your policy to see what it covers.

Kelly
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