Topic

Cigna

A collection of 1130 issues

How to Get Firdapse (Amifampridine) Covered by Cigna in Georgia: Complete Appeals Guide with Forms and Deadlines

Answer Box: Getting Firdapse Covered by Cigna in Georgia Cigna requires prior authorization for Firdapse (amifampridine) in Georgia with specific documentation requirements. Your neurologist must submit a PA request confirming LEMS diagnosis via electrodiagnostic studies or antibody testing, patient age ≥6 years, no seizure history, and specialist involvement. If denied,

Myths vs. Facts: Getting Lumizyme (Alglucosidase Alfa) Covered by Cigna in Michigan - Appeals Guide 2025

Answer Box: Getting Lumizyme Covered by Cigna in Michigan Cigna requires prior authorization for Lumizyme (alglucosidase alfa) with confirmed Pompe disease diagnosis, specialist involvement, and comprehensive documentation. If denied, you have 180 days to appeal internally, then 127 days for Michigan DIFS external review. First step today: Gather enzyme testing

How to Get Chenodal (chenodiol) Covered by Cigna in Georgia: Complete Appeals Guide with Forms and Deadlines

Answer Box: Getting Chenodal (chenodiol) Covered by Cigna in Georgia Fastest path to approval: Have your gastroenterologist submit a prior authorization request through Cigna's provider portal with imaging confirming radiolucent gallstones, documentation that you're not a surgical candidate, and proof of failed/contraindicated ursodiol therapy. Cigna

Work With Your Doctor to Get iLink® Corneal Cross-Linking Covered by Cigna in Michigan (Complete Provider Partnership Guide)

Answer Box: Getting Started in Michigan To get iLink® corneal cross-linking covered by Cigna in Michigan, you'll need prior authorization with documented keratoconus progression. Your ophthalmologist must submit serial corneal imaging showing Kmax increase ≥1.0 diopter over 12 months, plus a medical necessity letter. If denied, Michigan&

How to Get Fabrazyme (agalsidase beta) Covered by Cigna in Washington: Complete PA Guide and Appeal Scripts

Answer Box: Getting Fabrazyme Covered by Cigna in Washington Cigna requires prior authorization for Fabrazyme (agalsidase beta) with genetic or biochemical confirmation of Fabry disease. The fastest path: (1) Have your specialist submit a PA through Accredo's provider portal with genetic testing results and medical necessity letter, (2)

How to Get Ultomiris (Ravulizumab) Covered by Cigna in Illinois: Complete PA Guide and Appeal Process

Quick Answer: Getting Ultomiris Covered by Cigna in Illinois Ultomiris requires prior authorization from Cigna for all conditions (PNH, aHUS, gMG, NMOSD). Submit the official Cigna PA form with complete diagnosis documentation, specialist involvement, and vaccination records. Most requests are processed within 5-7 business days. If denied, you have 180

Renewing Lutathera Coverage with Cigna in New Jersey: Annual Requirements, Documentation, and Appeal Process

Answer Box: Lutathera renewal with Cigna requires annual reauthorization with comprehensive clinical documentation showing continued response and no disease progression. Submit renewal requests 30-45 days before your current authorization expires. Include updated imaging reports, lab results, oncologist notes, and confirmation you haven't exceeded the 4-dose lifetime limit. If

How to Get Xyrem (Sodium Oxybate) Covered by Cigna in Michigan: Complete Decision Tree & Appeals Guide 2025

Answer Box: Getting Xyrem Covered by Cigna in Michigan Quick path to approval: Cigna requires prior authorization for Xyrem (sodium oxybate) in Michigan, plus mandatory REMS enrollment for both prescriber and patient. Three key steps: 1) Confirm narcolepsy diagnosis with sleep studies (PSG + MSLT), 2) Document failed first-line therapy (stimulants/

Getting Jakafi (Ruxolitinib) Approved by Cigna in Washington: Complete Timeline and Appeals Guide

Answer Box: Getting Jakafi (Ruxolitinib) Approved by Cigna in Washington Jakafi (ruxolitinib) requires prior authorization from Cigna for myelofibrosis and polycythemia vera indications. Washington state law requires Cigna to respond within 3 calendar days for electronic submissions. The fastest path: Have your hematologist submit complete documentation via Cigna's

How to Get Photrexa (Riboflavin) Covered by Cigna in New Jersey: Prior Authorization Guide with Appeals Timeline

Answer Box: Getting Photrexa Covered by Cigna in New Jersey Photrexa (riboflavin ophthalmic solution) requires prior authorization from Cigna in New Jersey. The fastest path to approval: (1) Submit complete PA request with corneal topography showing progression, (2) Include medical necessity letter from ophthalmologist citing FDA-approved epithelium-off cross-linking protocol, (3)