Has Anyone Had Any Experience with Cigna Insurance?

By Nessa2 on 18 Jan 2013

I called my insurance to see the the qualifications are for a breast redution. All they tell me is that it has to be deemed medically necessary. It's like the try to beat around the bush. As matter of fact, they said that a breast redution was not covered but an reduction mammoplasty is.....isn't that the same thing? As anyone had any experience with filing Cigna when getting a breast reduction...or reduction mammoplasty?

Comments (2)

Angelia91 16 Feb 2013

Five years ago we had Cigna. After my last child I decided to inquire about a br after constantly being told by my OB/Gyn that I needed one. Finally made the appt to see if I qualified for the surgery. Once I arrived and told the nurse I had Cigna, she informed me that she had been doing her job for the past 18 years and in that time she has had ONE patient approved by Cigna. I was quite heart broken to hear this. I went ahead with the exam to see if I qualified for the surgery and I did. I have switched insurance, now have Tricare, and was approved within two weeks. Hated hearing that Cigna was not a good insurance carrier for BR surgery.

Happybug 25 Jan 2013

Yes, I have Cigna...I just had my br on jan 16th... I went to see my ps in August and he put together my case and sent it off, about 3-4 weeks later I got a letter saying denied as not a medical necessity, so my ps appealed it and sent off more stuff including me getting a back X-ray to prove that I didn't have an underlying back problem that was causing my symptoms then a about 2-3 weeks after that I got a letter saying it had been reviewed again and I was fully covered..whoop..so don't give up, I think it is standard for some insurance companies to say no the first time round....good luck I hope it all works out for you !! Only 9 days post op and feeling very happy with the results!..so go for it, don't give up!