Question

Can Cigna deny me for not attending a visit with their doctor?

Asked on February 26th 2015 by Janie
I have been on Long term disability since April of 2013 Due to coronary artery disease, 5x bypass, six stents and type 2 diabetes and angina. I received a letter stating that they were going to review my case to see if I was still considered disabled. I am scared to death that they will deny me. I received a letter stating that they had not received records from my physician so I called them from my Dr’s office at which point they stated they had received them. Then they contacted me by phone asking me if I would be willing to see a physician of their choice. I am currently waiting for them to call me back with an appointment. My condition has not changed since I first went on Short Term/Long Term Disability. Can they deny me and why if nothing has changed? Should I go see a Dr. of their choice or not?

Answer

Answered on February 28th 2015 by Attorney Stephen Jessup

Janie, It sounds like Cigna is in the midst of conducting its “any occupation” review. If your policy states Cigna has the right to have you examined by a doctor of its choice (and it more than likely does) your failure to attend the appointment could justify a denial of benefits. Please feel free to contact our office as it does sound like Cigna is looking to potentially denial of your claim.