Cigna - Class Action Suit?
 

While I have read of some insurance claims that have been successful, I also read of many that were unsuccessful....after multiple denials & appeals. Harrison posted a file with many successful claims (>300) but this file was strictly for FDA approved Charite discs and the file is over 8 years old (and the Charite is no longer available).

Harrison attempted to update a list this year with successful appeals from all insurance companies. I believe there was a lack of response and he did not produce the list.

I am in the process of appealing a denial I received from Cigna. I will go through the paces but do not have high hopes for success, in spite of a judge ordering Cigna to pay one claimant after a successful individual law suit.

Are there other Cigna members that might be interested in a class action suit against Cigna or potentially multiple insurance carriers? If there are many others that are willing, there may be value in numbers. What do you think?

Optimistic,

I sent you a pm with my appeal info about an hour ago, I hope you got it and it was helpful ;)

I think you have a good chance overturning your insurance denial. Given your insurance is Cigna... They were one of the first to approve a two level cervical.

I am insured with Aetna. I would be interested in a possible class action, if all the variables fall into place. PM me if you want to discuss further.

Thanks Kelly, I did receive it. I will be working on an appeal. I am still looking to see if a lawyer and/or advocacy group will either support me or undertake the preparation of the case. As you know, there is a lot of work in preparing the appeal. Like others, I will probably ask members to review my documentation prior to sending it.

There are advocacy and lawyer groups out there. MCRA helped with mine. They worked with my Dr first, preparing appeals on his behalf to send for my case. When that was exhausted, they included my info and sent the final one to the external reviewer.

Every insurance has a different appeal process. I believe my Dr and his staff use several advocacy companies for the different insurances.

Early on, I contacted the attorney that won the Cigna case. They are in CA. I never heard back. But I also know the case they won they had done pro bono. There is protection for insurance companies in that if they get sued, they are only required to cover the cost of the benefits (or provide the benefits) and the plaintiff is not entitled to any compensation above that, so hiring an attorney would be strictly out of pocket cost because there won't be any settlement above the benefit cost to cover attorney fees.

A class action suit I'm sure would be somewhat affected by this but for those like you who have covered the cost personally and are seeking reimbursement I think it would be worth it.