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Marci Bowers And Cigna


JenniferB

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As some of you know I found out my company pays for GRS through Cigna. So I called Marci Bowers main office in Trinidad to see if the surgery was in network in San Mateo. It turns out that GRS was in network when in Trinidad and not in San Mateo. HOWEVER I was told that Marci would make a one time exception and allow the surgery in network. :ThanxSmiley: What this means is if I had the surgery this year I'd only have to come up with about $1,500. :D I just hope it stays this way in a couple years after going full-time and after being on the waiting list.

I wish surgery was this cheap for everyone.

Jenny

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  • 2 weeks later...
  • Admin

That's fantastic, Jennifer.

I have Cigna HMO, and my coverage specifically excludes anything related to transition.

*sigh*

Carolyn Marie

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I wish surgery was this cheap for everyone.

I hope this isn't a case of couting chickens before it is hatched. In the world of insurance 2 years into the futre is a long way off. Also possability of losing job, insurance coverage changing, etc can change not to mention that in two years the exception to allow in-network pricing might not be available.

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I hope this isn't a case of couting chickens before it is hatched. In the world of insurance 2 years into the futre is a long way off. Also possability of losing job, insurance coverage changing, etc can change not to mention that in two years the exception to allow in-network pricing might not be available.

Actually I do too. I'm fairly sure the insurance will be there if I don't lose my job, but in-network may be a different story. Marci may be accepting in-network patients right now because she just moved recently.

Jenny

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  • 2 weeks later...
Guest Hayley

Hi Jenny,

I have Cigna PPO Open Access Plus and Cigna has informed me that they do cover SRS as long as the requirements are met. They also said they would transfer my approval from Guardian to them and it would be no problem. It turned out that Cigna had more strict requirements then Guardian in terms of time lengths and they also require me to have an Evaluation by the Surgeon performing the surgery. So I now have to wait until the end of May just for the eval. Once that is done, Cigna indicated they would be able to consider Dr. Bowers in-network since there is no surgeon in network that performs the procedure!

Keeping my prayers going and wishing it was the end of May already. I just hope that the wait list isn't ginormous when I get my approval!!

Regards,

Hayley R.

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Guest Lacey Lynne

Jenny:

Just yesterday, you were feeling so blue in another thread. What a difference a day makes! Awesome news!

Start budgeting NOW and you'll have the $1500 together easily at that time. Rock on!

My insurance may cover SRS. Dunno yet. Haven't bothered. The for-now wife will tell you that I'm easygoing about these things. I'll get around to it like whenever.

CONGRATS, JEN!

;) Lacey

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