Hi, I am having GWH Cigna - Open Access Plus insurance (Thru my Employer). I am in discussion with my doctor for a month now for Panniculectomy surgery and Doctor's office sent all documents & photographs to Cigna 15 days back. I got a response today as Denied with below comments. -------------Per your medical benefit plan, panniculectomy is excluded from coverage
regardless if clinical indications. This decision is not based on the
medical necessity or clinical appropriateness of these service(s). Your
benefit plan simply does not cover these services, no matter what the
reason is that they are being requested. Please refer to your benefit
plan coverage booklet to make sure you know what your health plan does
and does not cover.--------------Did anyone get approval from Cigna for Panniculectomy Surgery recently? and Pls suggest how to proceed now. Thanks.