Review your denial letter carefully. Identify the specific reason for the rejection. This is your starting point.
Gather all relevant medical documentation. This includes your doctor’s notes supporting the medical necessity of Viagra, lab results, and any other pertinent information. Organize this meticulously.
Contact your doctor. Request a letter of medical necessity explicitly addressing Cigna’s stated reasons for denial. Ensure the letter clearly explains why Viagra is the appropriate treatment for your condition.
Complete Cigna’s appeal form accurately and thoroughly. Pay close attention to deadlines. Submit your completed form, along with the supporting documentation from your doctor.
Follow up. After submitting your appeal, track its progress. Contact Cigna directly if you haven’t received an update within the timeframe specified in their communication. Be persistent but polite.
Consider seeking assistance. If your appeal is denied again, consult a healthcare advocate or patient assistance program. They can offer guidance and support through the process.
Explore alternative options. If appealing fails, discuss alternative treatments with your doctor. They might suggest options with different prior authorization requirements.
Remember: Maintaining clear and consistent communication with Cigna and your physician is key to a successful appeal.
