SUSAN W.
I have a degenerated disc disease
I have a degenerated disc disease. I have had three back surgeries in the past by the best Neurologist in the Tidewater area . On May 31, 2024 I was ready to have a fusion done to my back due to the area I have I have gotten steroid shots no longer work which is causing lot of pain. On May 30, 2024, I found out the surgery was denied because the doctor who works for Cigna decided he did not want the fusion to be done to the back but to the side. THEY questioned that I did not hae any PT in my history, I have had PT six times..they wanted updated xrays, I had already done before for post op surgery, and then they wanted me to go to to a shrink. When I got this news I cannot tell you how I felt but to say, WHY AFTER FALLING OFF A SIX FOOT LADDER ONTO CEMENT, DEALING WITH SERIOUS PAIN. I called Cigna spoke to a Supervisor and got nowhere, it was talking to computer with NO feelings. My surgeon did a peer to peer but still was rejected. He suggested another fellow surgeon who does fusions to the right side..the process started allover again. But now to make Cigna happy I started PT so they were to analysis if I was a candidate for surgery. So July 2, 2024 the right side fusion surgery was denied again..the new doctor did a peer to peer with Cigna and they expressed to him I need a new MRI of my lower lumbar and I need to be evaluated by a shrink. When I hung the phone up I cried because of the pain and also because of my leg I sometimes fall..and I just cannot understand pay our monthly bill to Cigna...why are they being so selfish about me not having this surgery. This doctor who works for Cigna does not know me and has no idea day to day what I go through. I am a very well educated Christian woman and I will never speak to a stranger about my life. My shrink is GOD. The insurance company that I had before never treated me this way before..I do hope upper management reads this and contacts me. It is all about Customer Service if a Company is going to grow..CTHEY NEED TO CARE, BE FRIENDLY,BE HELPFUL,BE PROFESSIONAL, STAY FOCUS, AND HAVE A RESOLUTION FOR THEIR CUSTOMERS IF THEY ARE GOING TO BE SUCCESSFUL.
Response from CignaJul 26, 2024
Hi Susan, we can't imagine what you've been enduring. We care and would like the opportunity to see what option you have available. Please email us at [email protected] and include your Trustpilot profile name to be connect with a care team advocate. -Jennie



