Wednesday 16th of January 2019 08:15:47 AM
Ridiculous requirements, last minute cancellations. AVOID CIGNA! - I get to the point where pre-op testing is complete, surgery is scheduled, and all is just days away. Suddenly I am informed that I need to be evaluated by a cognitive behavioral therapist, 3 visits, in fact, so that we can discuss disease education, activity and lifestyle changes, and stress management. (Fear, anxiety and sadness interfere with pain management, you know.) On a separate email it was stated as this:From the clinical information received, medical necessity has not been established because: - the documentation received does not confirm that a PCP, neurologist, physiatrist, psychiatrist or psychologist, or other licensed behavioral and/or medical health care provider attests that you do not have an untreated, underlying mental health conditions/issues as a major contributor to chronic back pain-the documentation does not confirm that you have completed a course of cognitive behavioral therapy as outlined.I did, however provide a letter from my general practitioner, who knows me way better than any of the above mentioned strangers, stating that I am mentally stable and do not have any underlying conditions. The hospital staff where my surgery is supposed to be done, as well as any other medical professionals I relate this to, are dumbfounded as to why this is being done. Except in the case of gastric bypass, this is unheard of. It is the end of the year and the thought of them stopping this so I have to reach a new deductible has also been questioned by many. As if leaving me in pain, without surgery due to a disease process isn't enough, Cigna made it impossible to fill a prescription for my son to have pain medicine following the removal of his wisdom teeth. They make you wait 48 hours to fill a narcotic prescription, which was well after he didn't need the medication any longer.Cigna needs to get their act together. I would not have wasted my time, arranged time off from work, had my spouse arrange time off from work, had physical therapy, x-rays, an MRI and several pre-op visits only to have them issue one more impossible deadline just days away from surgery. If you happen to have Cigna thrust upon you, anytime you need to have a procedure, call them and ask for a list of requirements, then check back to make sure they haven't changed or been added on to.