CIGNA Corporation

Review: I purchased Cigna Dental coverage effective May 1, 2014. While researching plans, I explained to the representative that I needed a benefit that covered Orthodontics. Before purchasing the plan I told her that I had a child just coming out of braces and a child that was still in braces. She advised me that there was a plan which did cover Orthro. She never mentioned a waiting period on the benefits being paid on the Orthodontics. I received a bill from [redacted] showing a balance of 348.00. No claims have been paid by Cigna, to date. [redacted] states that Cigna informed them there is a 12 month waiting period before any benefits will be paid on the braces. I am requesting a full refund from May 1st to October 31st totaling 480.00. I was told that I can receive my premium back for only 30 days. I've sent 2 letters Certified Return Receipt to the CEO of Cigna David Cordani and the Vice President with no response to date. They were signed for on 11/03/2014 by Louis Uicello. My son's braces are now in jeopardy for non-payment, he can't be seen again until the balance of 418.00 has been paid. This has been a bad experience and poor customer service, not to mention a CEO of a company that doesn't care about the consumer only the premium. I'm a single parent and need my refund so that my son can continue with his Orthodontic care.Desired Settlement: I'm requesting a full refund of 480.00 for May 1st to Oct 31st.

Business

Response:

Hello, I have outreached to this customer directly to go over this issue in full detail. Thank you, Kelly M[redacted]

Consumer

Response:

[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.]

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,

Review: I currently have a Healthcare Reimbursement Plan with Cigna. I was given a coupon by the Doctor's office to get a discount for [redacted]; therefore I would pay no more than $35. Due to have the Reimbursement Plan, it bypass the coupon and deducted $70 from my account. I called Cigna several times and received incorrect information on how to have the Pharmacist process the request. Example use the coupon as the primary instead of secondary. The [redacted]s Pharmacist tried and they also contacted Cigna in reference to this issue. When I finally received the correct answer I was told it takes the system 24 hours to update once a change has been made to remove the automatic deductions from the Cigna account. Due to this back and forth with Cigna -- the Pharmacist is now unable to reverse the process so that I may get the savings.Desired Settlement: I would like the difference of the $35 co-pay return to my account.

Business

Response:

Good day,

A summary of events and outcome have been sent to the customer in writing.

Thank-you.

Review: I had mistaken a summary of claims services for a bill and paid the amount on the summary which was $117.00. When I realized that I had made a mistake, my check had already been cashed by Cigna . I have spoken to Cigna reps several times and have been unable to obtain a refund. I have further attempted to contact the CEO of Cigna, [redacted] by mail several times and have not received a response of any kind. Never mind obtaining a refund. I am not sure what the problem is but it appears that the Cigna corporation lacks integrity from the CEO on down.Desired Settlement: A refund check in the amount of $117.00.

Business

Response:

Our final response was sent to the customer on 2/21/13. She was advised that payment was sent out to her on 3/1/12 in the amount of $117.00. Payee: [redacted] amount:$117.00

Consumer

Response:

[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]

Review: [redacted]

I am rejecting this response because:

That payment was never recieved by me at that address.

Regards,

Business

Response:

Dear [redacted],

A copy of the check (front/back) was sent to the customer on 3/4/2013. The check was cashed and the customer's signature was on the back on the check.

We are closing the issue. Thank you.

Consumer

Response:

[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]

Review: [redacted]

I am rejecting this response because:

A check was never received from Cigna, it is now the 9th and I still have not received a copy of the supposedly cashed check.

Regards,

Review: Cigna charged me almost $2,000.00 for insurance that I never used and was mis-represented to me. Their insurance broker informed me that I was signing up for a co-pay policy when that was not the case. there was a large amount of ambiguity if I was even approved for the policy. At first they said the quote they first gave was incorrect and then when I received a mailing from them I was told I was approved. After returning from a week long conference I called Cigna to confirm the coverage. When they told me that this plan was not a co-pay plan, and would cost me approximately $7,000 a year than my current one I requested to cancel the policy. But they billed me anyway even though it was only 21 days old, their broker LIED to me, and we never used ANY aspect of the service.

They said if I was 2 days earlier they would have refunded but their representative said they are a business, " they need to make money"!

For the month they billed me I paid almost $4,000 in health insurance costs. This is deplorable and they should refund me in full.Desired Settlement: We are requesting a refund as we are taking our case to the attorney general, and any other regulatory body that is available. We were mislead from the beginning, provided multiple quotes that were larger than the advertised quote, and then charged almost $2,000.00 in fees. A multi-billion dollar corporation should be forced to treat its customers or potential customers with a little more dignity. The average person cannot afford to incur such a HUGE cost and be told what I was told in regards to obtaining a refund. The customer service representatives took an immense amount of joy in regards to informing us we would not get a refund and that is is just expensive to have insurance for a family of 5 in my state.

Business

Response:

Good day,

I’ve reviewed the file and listened to the recorded calls. I verified that the information provided by Cigna representatives was accurate and appropriate according to the selected policy. In addition, the outline of the plan was available online for review prior to the policy approval process. Furthermore, the disclaimer on the [redacted] site confirms that the rates listed are quotes and the final rate will be based on the underwriting process and the insurance company.

Written correspondence has been issued to the customer.

Thank-you.

Consumer

Response:

[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]

Review: [redacted]

I am rejecting this response because:

They are LYING! I was called and told that my rate would be $1,900 per month. I rejected that over the phone. Then I was called a week later from Cigna billing and I told them I was going to most likely cancel because I was not sure this was better than my United HealthCare Plan. The representative told me to review the plans and call back and cancel if need be, and in 8 days I did just that. If they can provide the audio of the Ehealth sign up and their Cigna reps that would be telling. But if the Revdex.com lets Cigna off it is a disgrace. The Revdex.com is already tainted organization and should hold merchants to task as I did not intend to be billed for 20 days of a policy I never used and was mislead in regards to signing up. My only resource is the **. AG and [redacted].

Regards,

Business

Response:

Good day,

We have listened to the calls and have issued a letter to the customer with the findings.

Thank-you.

Consumer

Response:

[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]

Review: [redacted]

I am rejecting this response because:

They won't acknowledge all the recordings. They are giving a canned response.

Regards,

Business

Response:

Good day,

I spoke with the customer yesterday, April 2, 2013. The information on the customer's account has been reviewed. However, we will not be able to honor the customer's request that he receive a refund of his premium.

Thank-you.

Review: I had a gynecological exam over a year ago in May 2012. They incorrectly processed a claim stating I am a male and not a female, so the claims keep getting denied. I have spoken with numerous Cigna representatives over the year attempting to get this corrected and paid with no payments made as of today.Desired Settlement: payment of services!

Business

Response:

Good day,

Written correspondence has been issued to the customer. I am working toward resolution.

Thank you.

Review: I called to shop for prices on Medicare Supplement Ins. on Nov. 16. I received a letter with a card and it had a date of Dec 1 for first payment. I did not tell the lady I talked to I wanted this insurance because it was too expensive.

I would like to know how they got my checking acct information without authorization from me. The person I spoke to said it would be drafted from my account.Desired Settlement: Cancel this and do not draft my checking account.

Business

Response:

Dec/17/2013

Dear **. [redacted]:

Thank you for granting our request for an extension regarding this matter.

We have reviewed **. [redacted]'s concerns regarding the telephone call she had with one of our marketing representative with respect to the purchase of the above referenced policy, According to **. [redacted]'s letter, she did not tell our representative that she wanted the Insurance.

While listening to the recorded call, we found that albeit with some hesitation, **. [redacted] furnished her routing and account numbers, as well as her verbal authorization to draft her bank account. However, because she was hesitant to release this information, we feel our representative was somewhat remiss in not offering to send her a proposal for the policy which would not require her banking information. While in most cases we have quality control personnel review our marketing representatives’ phone calls we find that this was not the case in this instance.

As a result of **. [redacted]'s complaint, the representative's manager will counsel her regarding her actions as well as make sure her calls meet the company's quality assurance guidelines.

Please be advised that **. [redacted]’s policy has been cancelled as “not taken" and is now considered null and void and never to have been in force.

In closing we apologize for any inconvenience this matter may have caused. Should you have any questions please feel free to contact me at ###-###-####.

Review: Cigna Dental Health, Inc. denied payment to Great Expressions Dental CTRS in GA. [redacted] office for my daughter, [redacted], DOB 4-20-2001, child cleaning service dated 6-27-2013, claim # [redacted]. The reason is [redacted] should visit the general dentist for teeth cleaning not pediatric dentist.Desired Settlement: Pay to Great Expressions Dental CTRS for child cleaning service.

Business

Response:

Cigna has made a decision and verbally communicated it to the customer today, January 17, 2014.

Review: In November of 2013 I called Cigna to setup an automatic bank draft of my insurance premium each month. They assured me the auto draft was active. In January 2014 I discovered no drafts had been deducted out of my account for either December or January. I called them to find out what happened and they said that the auto draft had not been activated. They then told me I was past due for December and January so I at that time I paid the past due amount of $936.00. They told me that the auto draft would start in February for $470. So after the $936 payment my account was completely current. However on February 4th 2014 they drafted my bank account for $1,408.00. I immediately called them to dispute and they said that I had a credit balance now of $936. They mistakenly took out funds to cover the balance of Dec and January which had already been paid. They told me they caught their mistake and would refund the funds to me immediately. I called again three days later on February 7th because I still had not received the funds. The customer service representative told me no the funds would thaw 7-10 days to process. I called on February 19th because I still had not received the funds. The customer service representative told me that the previous rep on Feb 7th didn't process the refund correctly but she assured me she would. She said she would have it expedited in 3 days. So now three days later I still have no refund. On what level is this acceptable. If I do not receive a response to this complaint I will be pursuing a lawsuit for theft against Cigna. I am so glad that they think it's acceptable to keep my hard earned money that does not belong to them. I am sure the employee who receives this Revdex.com complaint in the legal department will just roll their eyes in nonchalance to this matter so he or she can get it done so they can proceed with their day and get to their lunch break. Do this will be interesting to see what happens. Thank you Cigna for causing me to be late on other bills because of your "I don't care" attitude and outright theft of money that does not belong to you. But like I said whoever reads this complaint at Cigna will just think about how it doesn't affect them personally and carry on with their day.Desired Settlement: I want my credit balance of $936 returned in 24 hours to my bank account and cancellation of my Auto Draft because I cannot trust this company with my bank information. Anything less than that could result in a potential lawsuit for a number of damages.

Business

Response:

A written response has been sent to the customer in regard to Revdex.com complaint # [redacted] as of today.

Review: In December I went on healthcare.gov's website to see if I could get a better price on healthcare. I qualified for Medicaid which became effective Jan. 9, 2014. I sent a written notice to Cigna in March asking them to cancel my policy and reimburse me for the re-occuring drafts. Jan -March. I also went on line to Cigna and canceled my re-occuring draft. I continued to receive billing notices. Last week when I got a letter that they would cancel my policy for non payment; I again wrote a letter with the same request. This time I sent it to ATLANTA and CHATTANOOGA. Again, no response from the company but I wake up this morning and they have drafted my account for another $744.00 without my permission.Desired Settlement: I want a refund for $1860.00

Months drafted Jan.-March $1116.00 previously requested

Draft taken without permission $744.00

I will be calling as soon as they open today 5/5/2014

Business

Response:

Cigna has completed our review of this Revdex.com request

and a final resolution has been communicated to the customer.

Consumer

Response:

[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]

Review: [redacted]

I am rejecting this response because: All though I'm appreciative that they refunded the money that they drafted out of bank account without permission also the 1 month refund. I feel they caused me undo stress and hardship by keeping my money for almost a month and not responding to my first cancelation notice.No one asked me if I was happy with their decision. They justmade one and notified as to what it would be.

Review: I have contacted Cigna Home Delivery Pharmacy more than once regarding sending out mail order prescriptions without my consent. They have received and continued to fill and charge my account without my permission. Last month, I had spoken to a representative requesting that NO MORE prescriptions should be filled and mailed out before prior approval from me. I must have the money in my account before they can send through a debit on my account. Cigna took it upon themselves to fill and debit my account without my permission AGAIN today. That is robbery in my eyes...taking money without my consent. I am furious regarding this matter. Not only did this happen, but I called yesterday to get my husband's ([redacted]) prescription filled, and the representative I spoke with said there was no prescription on file for him and I should contact his doctor to have the prescription refill faxed to them. I called his physician who then complied. When I spoke with Cigna today, they stated that there are two orders for his prescription on file. I am so totally frustrated with Cigna. I cannot get anywhere talking to them. I hope with your intervention, things can and will get straightened out. Thank you. Sincerely, [redacted]Desired Settlement: I want my money refunded to me for the prescriptions they said they sent without my permission as I have agreed to return the medication to them. I do not want to have to wait for my money as I need that money in my account for my bills. I also do not want them to ever take it upon themselves to fill prescriptions and take money out of my account without my permission.

Business

Response:

The customer's complaint is still under review. Upon completion a response will be sent to **. [redacted]. Thank you

Review: Cigna Home Delivery Pharmacy still has not delivered the prescription for [redacted] that was ordered 11/11/2014.Desired Settlement: Deliver the prescription.

Business

Response:

Good afternoon, Cigna's Executive Office of Complaints has received the complaint and will be following up with the customer directly for resolution. Thank You

Review: We purchased a medical family plan with Cigna insurance in 2013. In November of 2013 Cigna informed us that, with the implementation of Obamacare in January, we would be required to carry pediatric dental coverage for our son, [redacted]. As of November 16, 2013, [redacted] was 20 years old, but we were informed that he was required to have coverage until the age of 21. Therefore, Cigna began charging us $38 per month for dental coverage on [redacted].

As we submitted claims, we have learned of Cigna’s scheme. Cigna’s plan is to have the billing department require families who have children under 21 to carry pediatric dental coverage; however, the claims department does not cover anyone over 19 years of age on the Obamacare program. The fraud is simple: Cigna requires you to have coverage and will not drop the coverage citing the Obamacare regulations; however, they refuse to pay any claims that are made on the coverage that you are paying for.

Both Cigna departments are happy to cite their rules. Billing and Enrollment cite that pediatric dental coverage is required until your child reaches 21. The Claims department says that once a child reaches 20 they no longer qualify for pediatric dentistry coverage and therefore they refuse the claim.

I have spoken to Cigna on at least six different occasions with the average phone call lasting well over an hour. They claim the problem lies with the “front office”. The persons I have spoken with could not even inform me of what city Cigna’s “home office” is located in.

At this point, all I want is to be reimbursed for the $38 per month that I was charged to carry the “required” pediatric dental coverage on [redacted]. ($38 X 8 months = $304)Desired Settlement: $38 X 8 months or $304

Review: Cigna has failed to process my claim and provide information to me in a timely manner resulting in collections by the health provider

On 11/27/14, I went to my doctor for a physical, a service covered in full by my insurance plan. In July of 2013 I received a letter from the company stating they needed more information before they covered the service because they believed it to be a preexisting condition. The letter had fields to fill out the names and dates I had been treated for the condition. I wrote to them explaining that it had not been a preexisting condition but continued to receive the same automated letter. I called in several times and was told that they had received my response and would process the claim.

In March of 2014 I received a bill from my physician for the full amount of the service. I called Cigna and they then said that I had filled out the letter incorrectly and had to write "none" in the fields that asked for names and dates. However, this information was not provided to me until my account was already in collections. They said they would call the physicians office, explain the situation, and stop the collections but never did. The physicians office called them and was told a letter of continuous coverage would be needed to reprocess the claim, however when I called the insurance company back they said this was not the case.Desired Settlement: I want for Cigna to immediately cover the service in full and stop the collections on my account.

Business

Response:

We have sent a response to the customer in regard to Revdex.com complaint # [redacted].

Consumer

Response:

[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.]

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,

Review: CIGNA has been contacted at least six times now by my insurance agent, by our pharmacist, and by me concerning an issue with an incorrect birthday that they have in their system for my son, who is covered under my insurance (with CIGNA). The problem is that they somehow have the wrong month for his birthday, but they will not correct it to the correct month. This is a problem as we can not get the pharmacist or his pediatrician to provide their service since there is a discrepancy with his birthday. Since my son is ADHD, we have to deal with this on a monthly basis as we have to fill a prescription for his medication every month. Since medicines for ADHD are considered a controlled substance, the pharmacist can not fill the prescription when the birthday does not match their file with CIGNA's file for the same person. Each time this has happened (this month being the sixth time), CIGNA's Benefit and Claims department has been contacted in order to get the prescription filled and this takes a lot of time each event this happens. Today when I had to, once again, contact CIGNA concerning this issue, I was informed that they had no record of being contacted to correct this error - basically calling me a liar. I can document the six times I, the pharmacist, and my insurance agent have spoken to CIGNA to get this corrected: November 2013 (by me), December 2013 (by me), February 2014 (by my insurance agent), March 2014 (by our pharmacist and me), May 2014 (by the pharmacist), and today (06/13/14 by me). CIGNA claims that they have only been contacted twice before today, in March 2014 and May 2014. Basically what happens is we are being denied coverage because of this issue. CIGNA has also incorrectly billed me a higher premium than what I was supposed to pay. They did send a letter explaining that they have done this and are fixing this issue.Desired Settlement: I just want CIGNA to correct my son's birth date in their files as they have been directed to do with a letter of confirmation to me explaining that they have done so. This is for us to show the pharmacist, doctors, or anyone else that we have done what we can to get CIGNA's issue resolved.

Business

Response:

Hello, Thank you for the information. I have sent a letter directly to the customer to have this issue addressed. Thank you, [redacted]

Consumer

Response:

[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.]

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,

Review: Cigna is refusing to pay for baby well visits as outlined in my plan document. They are applying the adult well-visit rules to a baby.

[redacted]Desired Settlement: they should process the claims according to their own guidelines - Birth, 1, 2, 4, 6, 9, 12, 15, 18, 24 and 30 months.

Business

Response:

Thank you for bringing this inquiry to our attention. I am currently researching this issue and made outreach to the customer. Once I reach resolution, I will provide my findings directly to the customer.

Thank you,

Review: On December 31, 2013, I spoke to a customer service representative concerning my medication for my [redacted]. I informed her that in the past I took [redacted] and it worked very well. Since my company switched to Cigna, I am not able to receive the medication that actually helped my condition. Starting in July 2012, Dr. [redacted] wrote two separate pre-authorizations for me to receive approval for [redacted] and they were both denied. Since then, my conditions have gotten worst. I have tried 4 different types of medications with no relief. Dr. [redacted]’s office prescribed [redacted] for me on January 2, 2014 and it was denied again. I do not understand how a company can deny a prescription that will work for someone. I explained to the customer service representative and my doctor that it will cost the insurance company more if I continue to go to the doctor for my medical problems rather giving me the medicine that has proven to work for me in the past.

I am very disappointed because, you have failed to provide satisfactory service. I have called on several occasions to try resolving this matter. I called on December 31, 2013 I spoke to a customer service representative, January 3, 2014 at 10:15 a.m. , I was on hold for over thirty minutes, I called back at 3:00 p.m. on January 3rd and I was on hold another thirty minutes and then Cigna hung up the phone. I called right back and was hold for a total of forty minutes additional minutes before they hung up the phone againDesired Settlement: I WANT MY [redacted] PRESCRIPTION APPROVED!

Business

Response:

Cigna has completed our review of this Revdex.com request and a final written resolution will be sent to the customer today, January 13, 2014.

Review: I have been getting the same bill reprocessed three times now and Cigna has not paid the portion they keep saying they will pay. They are saying the doctors who work at an emergency room I take my family to for emergency visits are not in network but that the hospital they work in is in network. I can't choose a different doctor when I visit an emergency room. Now I have two bills where they say I owe a significantly smaller amount than the doctors billing company. I have called 6 times about this and this has been reprocessed three times with no results.Desired Settlement: I would like Cigna to either fix what they are doing with their billing so that when you visit an ER you are not charged out of network and then Cigna has to argue back and forth between them and the billing company. I would like Cigna to make it so that the only portion I owe for my bills is in fact the portion they say I owe on the explanation of benefits.

Date of Service for the first bill:

7/6/2013

Provider: [redacted]

They denied $60.00 as not usually performed on the same day.

They $76.98 of the $250.00 portion of the bill.

They say I owe $7.69 and [redacted] says I owe $240.80

Patient is my son [redacted]

Second bill is date of service:

11/17/2013

bill was for $450.00

provider: [redacted]

Cigna says I owe: $14.69

[redacted] says I owe: $317.78

I would like them to pay the portion I owe which they say I do not owe or figure ttu a way to make the DR's that work at the hospital which is in network also in network. I want to actually only be billed for the portion they said I owe in the explanation of benefits.

Business

Response:

Thank you for this information. I will be reaching out to the customer directly to have this issue addressed.

Thank you,

Kelly

Review: My name is [redacted]. I am an [redacted] County Employee. I have Insurance through Cigna. On 1/06/2013 I went to the [redacted] Emergency room for treatment. I was very sick from a stomach virus. It was Sunday morning and I could not get into see a regular doctor. I paid my premiums to the insurance company. A year later I received a bill from [redacted] group for 845.00. Cigna had asked for a refund of the 261.82 they paid. I have tried many many times to resolve this with Cigna. I get a different answer everytime I call them.Desired Settlement: I would like cigna to pay the 261.82 they paid a year earlier.

Business

Response:

We have sent a response to the customer today in regard to Revdex.com # [redacted].

Review: This letter is in regards to a claim denial for services on 01/03/2014. I am extremely upset that this was denied. I have been going through a very difficult, stressful, and upsetting time in trying to get pregnant; the services received on 01/03/2014 was the last effort to see what problems may be present in preventing pregnancy before seeing a fertility specialist.

However, before this service was scheduled, I met with a surgery consultant at my OBGYN’s office on 12/05/2013 to discuss options. The tasks at hand were:

1. Call CIGNA to see if procedure is covered

2. If procedure was covered, proceed with procedure

3. If not covered, discuss price negotiations with hospital

The surgery consultant at my OBGYN’s office, Heather, phoned CIGNA and spoke with Romano. During this call, she was advised that my policy DOES cover the procedure in question. PLEASE REFER TO CALL REFERENCE [redacted].

If I was properly advised by CIGNA that this was NOT covered, I would either have not gone through with the procedure, OR tried some sort of negotiation with the hospital. Because of this, I had to pay $2,604.32 that was not applied towards my deductible! I am so very upset over this. It’s not like I can reverse the procedure, and have tried everything I can do for them to make this right. Neither the provider nor insurance company is taking ANY fault in this, or trying to do whatever they can to make it right. I have never disputed anything on my policy and have faithfully paid any claims due, premiums, and deductibles when necessary. Even if the code that was given was provided and advised was covered, shouldn’t the rep on the phone ask what the diagnosis code is before confirming that the procedure would be covered? Where was the due diligence? Now that I am seeing a specialist, I am being asked to proceed with a laparoscopy, which will have a bill of over $4,000, that has been confirmed WILL go towards my deductible, but this one will not?! So, now I had to pay over $2600 for an HSG that did not go towards my deductible, and now a bill of over $4,000 that will go towards my deductible, but I will have to pay the entire deductible first. All I am asking is that the company do the right thing and apply my out of pocket expenses that have been paid towards my deductible. Now, I have an extended financial burden when this could have been completely avoided!Desired Settlement: All I am asking is that the money I have paid out of pocket be credited towards my deductible. I am not asking for any money, just that it be applied to the deductible as confirmed over the phone.

Business

Response:

An electronic response was sent to the Revdex.com in regard to complaint # [redacted] for [redacted] on 06-27-14. A written response was also sent to the customer.

Consumer

Response:

[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]

Review: [redacted]

I am rejecting this response because:The recent message from the company states, "An electronic response was sent to the Revdex.com in regard to complaint # [redacted] for [redacted] [sic] [redacted] on 06-27-14."This information is not showing.

Regards,

Review: October 2012- I needed a crown on a tooth, it was cracking, regular dentist unavailable, went elsewhere due to pain. That dental office had many issues, the crown they seated after a few visits broke within 24 hrs, I went back many times to try again. Finally, I said "don't do anything else, Im calling insurance to see my options, I don't trust y'all." Insurance told me to get them and myself reimbursed or I couldn't have the tooth fixed for 5 yrs. I did this, finally, through the help of the Revdex.com. I didn't have money to just go get it fixed so I needed to make sure this was covered and they had everything they needed to proceed. I was told on 4 different calls that Cigna had everything they needed and I could go get my tooth fixed, I made sure 4 times. I did, in July 2013 after having a temporary sitting on my tooth for 8 months, not even glued. I even had my dentist office talk to them to ensure we were all squared away. Then, I started getting the denial bills. I have made dozens of phone calls over the last year and a half, and everyone goes through the notes and sees all the details and says yes, this should have been paid. they kept re-filing, it gets denied again. Then, after two or three appeals I got another denial to my appeal, and the appeals coordinator even said this is bogus and doesn't understand why this keeps getting kicked back. Cigna has failed on many issues here. This is not acceptable.Desired Settlement: I want the insurance to just do what they repeatedly assured me they would do and pay the claim. Because of Cigna's failure to pay this claim, my dentist says we owe them over $850.00, after I paid my portion over a year ago and ensured repeatedly they would cover it. My reputation as a paying customer is ruined and I am embarrassed. So many hours wasted arguing this

Business

Response:

Hello-Thank you for forwarding this complaint. Cigna will review the customers complaint and follow-up directly with the customer.Tanya H[redacted]

Consumer

Response:

[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]

Review: [redacted]

I am rejecting this response because:I have still not been contacted by Cigna. There has been no resolution. This nightmare has now been going on for nearly two years. They need to pay the claim, like they repeatedly told me they would. Their business practices are atrocious!

Regards,