CIGNA

Hello-
This complaint is being addressed.
Thank you.

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
 Complaint: [redacted]
I am rejecting this response because: It is CIGNA is just making an excuse. My complaint is the way CIGNA do business. They lie saying they don't have information from doctors when doctors have proven they have faxed what was requested. We can close this, I just want the public to know how CIGNA does business. I know and have heard I am not alone. I just believe in speaking up.
Regards,
[redacted]

Dear [redacted], Thank you for forwarding this complaint to Cigna. Cigna has reviewed this complaint regarding [redacted]’s concerns about the accuracy of the online IFP-Missouri Cigna Connect Network directory. I can confirm that a resolution letter was mailed to the customer on February 20, 2018.  Rae B[redacted] | Operations Specialist | Executive Office Advocacy Team

October 6, 2014
Dear Sir or Madam:
We are responding to a complaint filed by [redacted], which we received on October 3, 2014, regarding her plan benefits and limitations.Our records show that [redacted] had coverage with Cigna/[redacted] plan from September 1,...

2012 through December 31, 2013.The CGUC/[redacted] Sickness and Accident Plan Is a fully insured limited plan with limited benefit structure. The plan has accident benefits which consist of $1,000.00 maximum per occurrence, payable at 80% of eligible charges after a yearly deductible of $50.00 is satisfied. Ths pian allows two occurrences per benefit plan year, injury must occur while covered under the plan and only charges within 90 days of the accident are eligible for benefits.Upon review of [redacted]’s complaint, we found that the claim in question, [redacted], was received for processing on December 14,2013. We were unable to complete the processing of this claim as additional information was needed to rule out work related Injury.The accident detail questionnaire was sent to [redacted] on January 2, 2014. [redacted] returned completed accident detail questionnaire on January 15, 2014 noting that this was not a work related injury. The claims related to this accident were reconsidered on January 22, 2014 allowing plan benefits. [redacted]'s claims were processed to her maximum per occurrence accident benefit for 2013 benefit plan year. No additional benefits are due at this time.Enclosed you will find the Explanation of Benefits for the claims paid in relation to this accident.If you have any questions or concerns regarding this matter feel free to contact me at ###-###-####.Sincerely, 
Millie I 
Regulatory Compliance Analyst

Thank you for frorwarding this customers complaint. We will review and follow-up directly with the customer.
 
Tanya H[redacted]
Cigna's Executive Office Of Complaints

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending...

it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. 
Regards,
[redacted]

Please note that this request is still in review. A response will sent directly to the customer upon completion.
Thank you.

This
issue was discussed with the customer and advised to discuss this with his
healthcare professional who billed for the services in question.

Hello,Thank you for this information.I will be researching the issue and will respond directly to the customer once a resolution is met.Thank you,Nicole P[redacted]

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before...

sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.  In the sense that I was contacted and the required documents are being mailed to my home. 
Regards,
[redacted]

Thank you for this information.  I have reached out to the customer to go over resolution. 
 
[redacted]

We have sent a response to the customer in regard to Revdex.com complaint # [redacted].

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]Revdex.com:CIGNA and [redacted] worked together to resolve this matter. They have notified me that they will honor their insurance as per their policy for the Artificial Insemination procedure. Therefore, I have a zero balance for this medical procedure, as it is covered under insurance.
This is the resolution I was seeking and it has been reached and honored by CIGNA and [redacted].
Thank you so much for your help with this matter as it would have been impossible without your help.
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.  Regards, [redacted]

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending...

it.]Revdex.com:I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.  Regards, [redacted]

Thank you for this information.
I will be researching this issue and will respond directly to the customer.
Thank you,
Nicole P[redacted]

Dealing with cigna group insurance has been one of the worst experiences of my life. Have been pay for STD through the company I work for. Recently I've been dealing with health issues that have left me unable to return to work at this time. I suffered a stroke on top of other things. I've had my claim denied twice by cigna group insurance even though I've provided over a hundred pages of medical information and notes from doctors. This company unfairly denies cases daily.....this company is all about profits and not about the well being of it clients! Something should be done about a company that so corrupt.

Complaint #[redacted]
The issue has been reviewed and resolved. a letter dated September 04, 2015 has been sent to the customer.

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that though no explanation or apology has been given, this resolution is satisfactory to me. 
Regards,
[redacted]

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed...

Administratively Resolved]
 Complaint: [redacted]
I am rejecting this response because:cigna has not agreed to cover any portion of the procedure even though I have met all criteria.
Regards,
[redacted]

HelloThank you for forwarding this complaint. Cigna will review the customers account and follow-up directly with the customer.