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Monday, September 21, 2009

CIGNA: Assaults on Sick People or If You're a Risk, How Can We Make Money?


When we first started going through the ordeal with CIGNA last August, 2008, I started looking over their website to get an idea of what kind of company, really, they were.  Guess what?  There is a great corporate disconnect in this world between what a company says it is committed to do and what actions they finally commit.  From their website:

Income Protection for the Long Haul
CIGNA Long-Term Disability insurance helps members ensure a continued flow of income if you are unable to work for an extended period of time due to an illness or injury. This way members will be able to continue to pay bills and can focus on getting well.
Benefits of the plan include:
  • Income protection when unable to work
  • Outstanding customer service
  • Fast, hassle-free claim service
  • Return-to-work support and incentives
Presented here are highlights of CIGNA's Long Term Disability plan. Full terms, conditions and exclusions are contained in the insurance policy. Insurance is provided by Life Insurance Company of North America and CIGNA Life Insurance Company of New York, CIGNA companies. CIGNA Group Insurance® is a registered service mark of these companies.

Yeah, right.  Focus on getting well and hassle-free claim service--pure, unadulterated lies.  BUT, I'll give them fast--so fast the deny you BEFORE you are eligible to even begin long-term benefits. Let me recap the state of my husband's health last August at the time of CIGNA's first letter of denial:
1.   Five new sizable lesions on his brain and spinal cord--all formed within 1 month of his last MRI, which is the machine at the top of the page.
2.   Blinding migraines.  He had never had headaches before in his life, let alone being plagued with headaches that left his vision blurry.
3.   Blurred vision to the point where he could not read without causing himself more pain or inability to even read text.
4.   Vertigo and dizziness and accompanying nausea.
5.   Blurred vision upon movement.
6,   Increased tingling/burning sensations in his legs and left arm.
7.   Extreme pain in his legs.  At this point, he is in constant neuropathic pain.
8.   Difficulty in balancing himself.
9.   In a state of constant fatigue and extremely depressed about his symptoms and the fact that CIGNA is denying his illness and his disability and is refusing to honor their contract to pay his income so he can "focus on getting well."

What does the company who claims to help their clients "focus on getting well" do? They begin an assault on a sick man.  How do they do that? By lying, by refuting the findings of 2 and then 3 neurologists. By filling up a denial letter with some of the most fallacious claims ever conceived.  By refusing to pay out his benefits so he can focus on getting well. By calling him and telling him he MUST apply for Social Security Benefits or he won't be considered for disability.

We are a family.  Our husband and father is ill.  We are scared.  We have an insurance policy that is supposed to take care of us while we try and get him better.

But that's not how it works in our country.  CIGNA is in the "business of caring." all right, but not about their policy holders and premium payers.  They care only about their bottom line.

And if you need more proof of that, I urge you to do a search on Dawn Smith and CIGNA and then go and sign the petition at MoveOn to CIGNA on Dawn Smith's behalf.  Why?  CIGNA is refusing to remove her operable brain tumor because the hospital where her surgery can be done is out-of-network.

That's the state of health insurance in our country.  Pitiful, pathetic and geared towards making shareholders and their executives wealthy at YOUR expense, your health and well-being.

7 comments:

Dusty said...

Hello Margaret, I got your email and I have put your blog on my blogroll.

I feel your pain as I am well aware of how screwed up health insurance co's are, having had to deal with the CA state disability nimrods for the last three years.
I hope that this nightmare for you and your husband comes to an end soon, but knowing how these companies like to out-wait people..I don't see that happening and it makes me very angry.

Margaret Welman Paez said...

Thank you, Dusty. I have returned the favor in-kind.

I don't think the nightmare will ever end until we have a Public Option. As for disability insurance, what a load of crap it is to begin with--just another way to collect monthly premiums and make the shareholders smile.

Dusty said...

The "Public Option" isn't all it's cracked up to be, so be careful what you wish for.

I want nothing less than univrsal coverage. Every other friggin nation has it..why in the blue hell can't we????

Margaret Welman Paez said...

Duly noted.

But what bothers is the undertone to all this debate (forget the idiotic tea baggers and their gripes as they have no idea they are being manipulated by the insurance industry). We seem to be a nation where helping each other is looked down upon as being weak. Where public assistance is considered a bad thing. Where the CEO of a grocery store I used to shop at--Whole Foods--believes that health care is not a right in this country.

I don't get it.

Dusty said...

Oh, I get it alright.

It's the "I got mine screw the rest of you" group.

Said group is actually quite large which of course makes me sad until it pisses me off. Several of my family members are part of this group. Now that..pisses me the hell off.

Margaret Welman Paez said...

Until something happens to them. Then it becomes very different.

Dusty said...

You got it sista!!! ;)

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