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Cigna and PT/OT

greyt00greyt00 member
edited May 2014 in Special Needs
Awesome. Cigna is no longer contracting directly with physical and occupational therapists. They are using a third party called "American Specialty Health" and they dropped the rate to our OT BY 80%.  Of course, this is unacceptable to them so my beloved OT is going out of network in August.  NO ONE is going to accept such a huge cut.  That would make everyone out-of-network, and they just cannot do that.  Of course, they can do whatever they want until people get ticked off enough and work hard enough to appeal in some way.  I've heard of people getting out-of-network providers re-instated as in-network if there are no in-network providers close enough... which is what is going to happen if they cut rates to 20% across the board!  I don't know how to do that... but I guess once they get their directory updated, it's time to start digging.  See what's left.  Now I'm afraid they will do something similar to ABA. 

 
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Re: Cigna and PT/OT

  • greyt00greyt00 member
    Heh, so I hear.... But they are finally paying for ABA so we'll deal with it.  We're not switching OT, we'll just pay more for her.  :-/

     
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  • realisticdreamsrealisticdreams member
    We have cigna and our plan doesn't cover any PT/OT/ST for anything other than restorative purposes. It sucks!
    DD1(4):VSD & PFO (Closed!), Prenatal stroke, Mild CP, Delayed pyloric opening/reflux, Brachycephaly & Plagiocephaly, Sacral lipoma, Tethered spinal cord, Compound heterozygous MTHFR, Neurogenic bladder, Urinary retention & dyssynergia, incomplete emptying, enlarged Bladder with Poor Muscle Tone, EDS-Type 3. Mito-Disorder has been mentioned

    DD2(2.5): Late term premie due to PTL, low fluid & IUGR, Reflux, delayed visual maturation, compound heteroygous MTHFR, PFAPA, Bilateral kidney reflux, Transient hypogammaglobulinemia, EDS-Type 3


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