Cigna: round 3 (or is it 4?) GAIL

[Guest guest]

Gail,

I am dumbfounded completly 100% dumbfounded....I actually am at a

loss for words I feel so sorry for you guys....If I can do anything

or you need to go have some margis and vent my family is in town

from Calif so I am game I have a sitter....BTW I lived in Long Beach

for 5 years and graduated from in Long Beach...and went to

LBCC....Trisha

> > > Ah, there's nothing like returning home from a nice

> > > family vacation only to find another DENIAL letter

> > > from CIGNA. AAAARRRGH!!! I am totally dumbfounded

> > > and disheartened! First I need to vent, then I have

> > > some questions for ya'll...

> > >

> > > " The Appeals Committee contained a physician who

> > > specialized in Internal Medicine. " Uh, what does

> > > this have to do with my case and why would I want an

> > > internist making decisions about my baby's heads?!

> > >

> > > They are still rejecting the efficacy of DOC bands

> > > by vaguely referencing journals. Here's what they

> > > referenced: " controlled studies published in

> > > refereed medical journals " and " national reviews by

> > > several sources " . Why is it that I had to submit

> > > carefully documented references with my appeals, yet

> > > they can get away with this?!?!?!?!?!?

> > >

> > > I'm fuming...

> > >

> > > Now for my questions about external reviews...

> > >

> > > 1. Does anyone know anything about Plus in

> > > Philadelphia or Medical Care Management Corp. in

> > > Bethesda, land? These are the 2 independent

> > > reviewers that we have to choose from.

> > > 2. How long does an external review take?

> > > 3. How do independent review organizations make

> > > their money? I'm curious about this since Cigna is

> > > the one providing us the information about them.

> > >

> > > My husband is calling the attorney in the morning

> > > because he is sick of dealing with Cigna, so I want

> > > to hear from any of you who have gone through an

> > > external review to find out if it is quick enough

> > > for us to take the time to do it or if you would

> > > recommend handing it over to a lawyer at this point.

> > > (sorry about the run-on sentence). I'll definitely

> > > be calling " on behalf of the appeal

> > > committee " , but I know she won't do anything for me.

> > > It'll just make me feel better.

> > >

> > > Ok everyone, here's where I need all your kind words

> > > of support and encouragement. I'm sure I would have

> > > given up a long time ago if it weren't for the help

> > > you've given me, so please don't stop now. Am I

> > > pitiful or what!?

> > >

> > > Gail, Sam and Sara's mom, enraged Cigna crusader

> > >

> >

> >

> > __________________________________________________

> >