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	<title>Stephen Bolen &#187; Health Insurance</title>
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	<link>http://sbolen.me</link>
	<description>UX Designer &#38; Developer</description>
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		<title>Cigna came through</title>
		<link>http://sbolen.me/2009/11/11/cigna-came-through/</link>
		<comments>http://sbolen.me/2009/11/11/cigna-came-through/#comments</comments>
		<pubDate>Thu, 12 Nov 2009 00:02:26 +0000</pubDate>
		<dc:creator>Stephen</dc:creator>
				<category><![CDATA[Cigna]]></category>
		<category><![CDATA[Great West]]></category>
		<category><![CDATA[Health Insurance]]></category>

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		<description><![CDATA[I slammed them earlier today, so it&#8217;s only fair that I post that Cigna came through and we just had Jane RSV vaccinated. For free. Cooler heads &#8211; and lots of red tape later &#8211; prevailed.]]></description>
			<content:encoded><![CDATA[<p>I slammed them earlier today, so it&#8217;s only fair that I post that Cigna came through and we just had Jane RSV vaccinated.</p>
<p>For free.</p>
<p>Cooler heads &#8211; and lots of red tape later &#8211; prevailed.</p>
]]></content:encoded>
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		<title>Preexisting condition to whoop yo&#039; monkey ass</title>
		<link>http://sbolen.me/2009/11/11/preexisting-condition-to-whoop-yo-monkey-ass/</link>
		<comments>http://sbolen.me/2009/11/11/preexisting-condition-to-whoop-yo-monkey-ass/#comments</comments>
		<pubDate>Wed, 11 Nov 2009 16:33:25 +0000</pubDate>
		<dc:creator>Stephen</dc:creator>
				<category><![CDATA[Cigna]]></category>
		<category><![CDATA[FML]]></category>
		<category><![CDATA[Great West]]></category>
		<category><![CDATA[Health Insurance]]></category>
		<category><![CDATA[jane margaret bolen]]></category>

		<guid isPermaLink="false">http://sbolen.me/?p=180</guid>
		<description><![CDATA[I&#8217;ve got a big fat bone to pick with Cigna, the health insurance oligarch who recently bought out Great West, my company&#8217;s PPO of choice. Y&#8217;see, my wife and I just had a very complicated pregnancy, where our daughter, Jane, was born at 28 weeks. Prior to all of this happening, we had enrolled in [...]]]></description>
			<content:encoded><![CDATA[<p>I&#8217;ve got a big fat bone to pick with Cigna, the health insurance oligarch who recently bought out Great West, my company&#8217;s PPO of choice.</p>
<p>Y&#8217;see, my wife and I just had a very complicated pregnancy, where our daughter, Jane, was born at 28 weeks. Prior to all of this happening, we had enrolled in Great West&#8217;s <em>Great Beginnings</em> program, which, in a nutshell, waived our $250 deductible and sent us some neato pregnancy and child development books.</p>
<p>Well, we&#8217;re currently fighting with Cigna over the matter of Jane&#8217;s <strong>monthly</strong> RSV vaccination &#8211; a vaccination that&#8217;s absolutely 100% without-a-doubt necessary for her long-term health and general well-being.</p>
<p>If you want to know more about how frackin&#8217; expensive the RSV vaccine is, check out this great About.com article (did I just type that?!) about it:</p>
<blockquote><p>One of my forum readers posted a great question today. Synagis, the vaccine for <a rel="nofollow" target="_blank" href="http://preemies.about.com/od/preemiehealthproblems/a/RSVinPreemies.htm">RSV (respiratory synctial virus)</a> is very expensive. The cost varies depending on the dosage, but each shot for this reader&#8217;s baby costs $2600! That&#8217;s $2600 per month for the entire RSV season.</p></blockquote>
<p>Well, thankfully Cigna doesn&#8217;t want to do more than play a financial game of <em>just the tip</em>. Cigna has <em>mercifully</em> negotiated with Synagis and has a provider cost of $414.00, which, compared to the $2,600.00 cited above, is a freakin&#8217; bargain (<strong><span style="color: #ff0000;">84%</span></strong> off list price).</p>
<p>Now, here&#8217;s where this little tale gets interesting: Cigna doesn&#8217;t recognize the Great West <em>Great Beginnings</em> program, so we&#8217;re on the hook for all $414.00, due every month, OR OUR DAUGHTER COULD CATCH RESPIRATORY SYNCYTIAL VIRUS.</p>
<p>Fine. Great West/Cigna don&#8217;t recognize the enrollment in the <em>Great Beginnings</em> program. Surely, then, we&#8217;ve met our $250 deductible and our $1,000 maximum out-of-pocket expenses, right? We shouldn&#8217;t have to pay a dime, right?</p>
<p>Well, they don&#8217;t have records of that.</p>
<p>So we&#8217;re paying the full amount until those asshats at Cigna can figure out how not to fail at a Merger/Acquisition of another company.</p>
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