Guest guest Report post Posted October 3, 2007 HI! I wanted to respond to your e-mail regarding Cigna. We have Cigna and we have a high deductible but once our deductible was met, they covered 80%. I was very happy with that. What I can tell you is that Cigna tends to be a bit different in their terminology...the helmets are NOT found under "durable medical equipment". Cigna calls it--External Prostetics--custom molding helmet. I know this isn't much but I hope it helps a bit. Good Luck to you!~Kim Cigna Hi, My son was just diagnosed with positional plagiocephaly w/ facial asymmetry and tortocolis but our insurance provider (Cigna) denied his DOC Band due to exclusion. They will only cover post operatively. Has anyone had any luck with overturning this decision with Cigna specifically?I'm a mess to begin with due to the immense guilt of screwing up my son and now have to go into battle with an insurance carrier... he's just 3 months old...Any help would be greatly appreciated Quote Share this post Link to post Share on other sites
Guest guest Report post Posted February 21, 2012 Yes, we have been, are and will continue to be first contact portal of entry physician types which means patients can come directly to us. However, this is not the same as being a primary care physician who can triage as well as treat the 60 most common conditions presenting to a primary care office. The medical home model has a primary care physician type that does this initial triage of each new patient with in the CCO using the medical home model following that the consumer can go directly to the provider in the medical home that they wish and can best treat their particular issue on that particular visit(s)....not sure I made that clear....Vern Re: Cigna Brad: As I stated in a post some time ago, everything is moving toward a medical home model with a gatekeeper/overseer (most likely a RN or PA) who will have the authority to steer patients through the " system. " The national associations (Vern!) should be hot on this, since it's a new way for the medical profession to steer our patients away from us. The overseer will simply send the patient to PT, etc., first, leaving us as the last resort. Which, I guess, isn't exactly a new position for us. :-) Lyndon McGill, D.C. EvolvHealth Wellness Advisory Council Member Salem, Oregon www.SalemSpineClinic.com <http://www.SalemSpineClinic.com> www.EvolvingDaily.com <http://www.EvolvingDaily.com> On 2/21/2012 4:31 PM, Brad Farra wrote: I had a patient today tell me that she was contacted by Cigna and given some type of 'back pain packet'. A representative called her and told her a nurse could work with her on her back pain and that " not many people go to chiropractors " . Evidently the conversation was very derogatory towards chiropractors. I asked her to write a letter explaining exactly what had happened. Where should I send such a complaint letter? OBCE? Thanks. Brad Farra, D.C., CCSP Certified Chiropractic Sports Physician Glow Healthcare Integrative Medicine 2332 NW Irving St. Portland, OR 97210 503-222-1865 www.drbradfarra.com <http://www.drbradfarra.com/> Quote Share this post Link to post Share on other sites
Guest guest Report post Posted February 22, 2012 Is this part of that "health coach" program that private ins are moving toward? (and that chiropractors were invited to participate in?). Or, is this something different? If it is that, looks like we need to be involved so we can "steer" patients toward chiro!! (:-)RRSent from my iPadOn Feb 21, 2012, at 4:31 PM, Brad Farra <bpfarra@...> wrote: I had a patient today tell me that she was contacted by Cigna and given some type of 'back pain packet'.A representative called her and told her a nurse could work with her on her back pain and that "not many people go to chiropractors". Evidently the conversation was very derogatory towards chiropractors.I asked her to write a letter explaining exactly what had happened. Where should I send such a complaint letter? OBCE?Thanks.Brad Farra, D.C., CCSPCertified Chiropractic Sports PhysicianGlow Healthcare Integrative Medicine2332 NW Irving St.Portland, OR 97210503-222-1865www.drbradfarra.com Quote Share this post Link to post Share on other sites