Question

Will I get denied due to fact I can’t afford my surgery until I get Medicare in a year?

Asked on February 21st 2014 by Dave C.
I would highly suggest that you send a request in writing for an update detailing all of what has occurred. Did you submit your appeal with receipt confirmation to document date it was received by Cigna? If so, they are definitely beyond the 45 day timeline to render a decision and you would have the right to file suit for benefits.

Answer

Answered on February 21st 2014 by Attorney Stephen Jessup

Dave, Your inability to afford a knee surgery should have no impact on your disability insurance claim with Cigna. It is likely that you definition of disability is going to be changing from Own Occupation to Any Occupation. You and your doctors need to be prepared for this change in disability definition. If you send us a copy of your disability policy we can arrange a free phone consultation to make sure you are prepared for Cigna’s next moves and your change in definition.