CIGNA

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

Thank you for forwarding this complaint to Cigna. Cigna is currently reviewing the complaint and will respond once a resolution has been completed.Erica M[redacted]Executive Office Advocacy Team

[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:They cancelled my prescription for a controlled substance zolpidem 10mg tabs. My Doctor has faxed twice. Cigna has denied this, but they did it with my other prescriptions.  My Doctor will not write me anymore prescription for 6 months.  Cigna has put me in a situation where my Doctor has put me in the middle.  Will not use Cigna ever again. I will just go to my local drug store. 
Regards,
[redacted]

After External Review was completed, there was approval for this surgery.  Please contact your Cigna or your Doctor to discuss the approval.
 
Thanks,
[redacted]

Greetings,Thank you for forwarding this complaint to Cigna. Cigna has reviewed this complaint and a resolution letter has been sent to the customer on July 11, 2016.
Rae B[redacted]
Executive Office Advocacy Team

May 1, 2015
Dear [redacted],As third party administrator for [redacted], we are responding to the Revdex.com complaint filed by [redacted].
The insured, [redacted], had a Hospital Indemnity (HIP) and Cancer Care policy,...

underwritten by [redacted]. Both policies are supplemental in nature to assist with out of pocket expenses and do not pay billed charges in full,We received notification of [redacted]'s passing on December 12, 2013. We received the initial claim on September 26, 2014. We transitioned into a new claims processing system during this period. We experienced an unexpected delay in processing claims during this upgrade. We apologize to all our members on this technical issue.We reviewed the initial file on October 21, 2014. It was determined that some of the dates of service were outside the timely filing requirement. The underwriter allows a period of 15 months from the date of loss for a claim to be filed without an explanation for the timeliness of the filing. In addition, we required additional documentation to process the claims.
There were missing documents, which were required to process claims under both polices, Missing documents included the pathology report showing the first diagnosis of cancer, itemized surgical and anesthesia bills, chemotherapy and/or radiation bills, prescription charges, and patient diagnosis for hospital confinement. We notified the claimant of these requirements on December 12, 2014.We received additional documents from the complainant on February 17, 2015. This submission did not include the explanation regarding the timely filing delay deadline. We made this notification on February 27, 2015.
On March 9, 2015, we received the explanation for timely filing delay. On April 29, 2015, the analyst was able to make benefit payments on both policies. We ask that [redacted] please allow 7-10 business days for payments to arrive, Payment details are as follows:
Claim Number               Policy            Date Paid            Check#               Total
[redacted]                  Cancer               4/29                   6953               $45.65
                                                                4/28                   6949          $1,291.00
                                                                4/28                   6950             $391.00
                                                                4/27                   6943           $2,050.00
[redacted]                  Hospital                  4/28                   6947           $2,600.00
                                 Income
                                                                                         TOTAL         $6,377.65
We still require an itemized surgical and anesthesia bill for biopsy and surgery that show procedure codes and incurred charges. Dates of service for these procedures are January 28 to January 30,2013 and November 28 to December 3, 2013.I contacted [redacted] on April 29,2015 and offered my services to help acquire the remaining documents. We agreed to work together to obtain the documents, I will have them expedited through the claims department supervisor, once received. I will remain in close contact with [redacted] until all claims are paid.If you have additional questions, please contact us at ###-###-#### or via email at CustomerRelations@[redacted].com. Our fax number is ###-###-####
Sincerely,
David C.
Quality Assurance Specialist

Thank you for this information. This will be reviewed and the customer will be contacted.  Thank you!
 
Kelly M[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]

Hello-
Thank you for forwarding this complaint. Cigna will review and follow-up directly with the customer.
Thank you
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.  I received both refund checks as of Tuesday, February 10th and my husband now has his HSA card.
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: My Dr. did not release me back to work until 3/9/15 and my claim was first submitted in January 2015 and all notes and information was sent to Cigna indicating the reasons why, and again after sending several notes from my Dr. with detail information, my claim was denied and I was advised that I can request an appeal and I request an independent third party in writing to review my claim and after the 2nd appeal was denied, I ask why didnt my appeal go to a independent third party for review, and Ric P[redacted] advised to me that the appeal still has to be approve to even get to a independent third party which makes no sense. By law Cigna has to follow the external review process which they did not due. This is ridiculous for someone to have to go through, this should have been resolved months ago but again it's a scam people work hard everyday and pay ridiculous premiums and when something happens, these companies get over without paying and nothing is being done about it, so I will fight this to then even if it means taking legal action.Regards,
[redacted]

so far I am not pleased. I agree, they are quick to take your money. I PAID for a policy in November and they double charged me! I got a refund for one policy. It's now December and no ID cards, and my SSN cannot be used to locate my plan either. They put me on hold for over 4 hours, and no one has any answers! I want my ID #'s, policy #, and COMMUNICATION form them or my money back as this is nonsense! How do I know my policy even exists, just because "leadership" says it does? If I don't get my Id cards soon, I will be filing a complaint to get my money back.

I have been in contact with [redacted] in regard to Revdex.com complaint # [redacted]. Cigna considers this as resolved.

Thank you for forwarding this complaint to Cigna. Cigna has reviewed this complaint and resolution letter has been mailed to the customer on 04/27/2017. Outreach was made to the customer on 04/28/2017.   Charlene V[redacted] Executive Office Advocacy Team

Hello, This complaint has ben received by Cigna's Executive Office of Complaint. We will follow up with the customer for resolution. Thank You,Rafael P[redacted]

Hello-Cigna has reviewed and addressed this complaint and the outcome directly with the customer. If the...

customer wishes to have the results of this review shared with the Revdex.com the attached Authorization for Disclosure of Protected Health Information form needs to be completed and returned to Cigna. Thank youTanya H[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: I received the business's message on June 16 (2 days ago) and I still haven't heard from them. This is what I was talking about in my original complaint, first they tell me one thing, I do what they said, they turn around and say that I did the wrong thing! And now it's radio silence, I haven't heard anything from them and this keeps getting more and more frustrating. I need this to be resolved ASAP. Cigna, please be ethical and show a sense of urgency.
Regards,
[redacted]

Outreach via phone has been made to this customer with resolution to the complaint determined to this point.

I have contacted the customer in regard to the rejection of Revdex.com complaint # [redacted]. The customer has been advised of our next steps.

Hello,Thank you for this information.I  confirm written correspondence has been sent to the customer on February 8, 2016 and February 12, 2016.Thank you,Rae B[redacted]