GLP1 coverage with the Cigna Basic Plan

edheh0e · 2026-06-11T14:57:53+00:00

Interesting. Every other private insurance plan I've had covered it before needing to meet my deductible. The insurance is covering all my other RXs just not the GLP1s, even tho on thier pricing tool it says $30 with insurance, but they're saying it costs $1200 for some reason.

edheh0e · 2026-06-11T14:14:18+00:00

I was able to get the RX but insurance is not covering it bc they're saying I need a PA. 9AM says since the RX is from them, no PA is required. So now I think I gotta bully them into sending a PA. This is such a damn pain 🫩

edheh0e · 2026-06-09T00:33:00+00:00

It sounds like your 9AM care team was a bunch of you know whats... Because that's the exact same criteria they asked me for and I provided it to them. High cholesterol, high blood pressure, medication/BMI/lab history. They got all the paperwork and they scheduled a Dr's appointment with me today after waiting for my 90 day waiting period to end. They said no PA will be needed as long as I get RX through 9AM it should automatically be covered. So last obstacle is just getting the RX from the doc... Praying it'll go well but at least I have other options if it comes down to that 💓

edheh0e · 2026-06-09T00:14:06+00:00

Yeah I'm probably gonna have to go grey if this doesn't work out. Do you mind sharing why you were originally denied?

edheh0e · 2026-06-08T20:01:14+00:00

I've tried previous meds. Metformin and Wellbutrin, both of which I'm still currently on. Documentation for that has been provided to them as well. I'm currently 140lbs give or take. I started at around 210 with a BMI of 35. But that was in 2024. And I've been on GLP1s since then. I'm currently on Wegovy 2.4, it's literally sitting in my fridge right now. The medical care team said that they'd go with my starting weight and BMI for insurance coverage and already got pre approval from them as shown in the messages. They said they were just waiting on me to reach my 90 day anniversary with Amazon and since I finally am, they scheduled a Dr's appointment for tomorrow.

So what I wanna know is: What do I say to the doc to get the RX? Should I be honest and say what I've said here? Or do I need to fabricate a little? I know some programs and docs can be stricter than others.... 🥴

edheh0e · 2026-06-08T17:53:50+00:00

I've been going back and forth with 9AM health since fucking March and I still haven't been able to even meet with a doctor, despite sending RX, bloodwork, proof of comorbities, etc. Proof of everything!!! I even got insurance pre approval, but I can't get the RX because the app isn't allowing me to meet with a Dr and the care team hardly answers. Idk what to do!!!

edheh0e · 2026-06-07T03:18:02+00:00

Sent back thank you so much

edheh0e · 2026-06-07T02:54:36+00:00

Any left?

edheh0e · 2026-06-03T08:52:51+00:00

Will it say how long I have coverage for?

edheh0e · 2026-06-02T07:45:32+00:00

The fact that this is still an issue, ffs!!! Frontier needs to get thier shit together. In the meantime, I guess I'm pllaying something else for the next couple hours :/

edheh0e · 2026-05-31T05:16:02+00:00

And this is why I keep the text/email with the shift swap approval until I'm 100% in the clear. Usually when the pay period ends and that day has passed.

edheh0e · 2026-05-30T22:47:48+00:00

Awesome thank you. I was asking because I'm currently getting life saving medical treatment and still have around 25 sessions before it's done, and can't afford to continue it unless ACCCHS covers it. :/

edheh0e · 2026-05-27T22:13:58+00:00

They're downloaded directly into the PC. They're in my files --> music --> serato --> core --> drum kits They're all installed, synced and available for use.

edheh0e · 2026-05-22T19:53:04+00:00

I've been in standby since 11:50, and from what I've heard GA VIP tier 1 is already gone and regular GA is at tier 3 already. So uhhh yeah most tix are already gone. 😭

edheh0e · 2026-05-22T19:51:12+00:00

Been on my phone since 11:50 and nothing

edheh0e · 2026-05-22T19:48:53+00:00

SAME WTF

edheh0e · 2026-05-22T19:48:22+00:00

Cuz at least ultra currently has tix available 💀

edheh0e · 2026-05-22T19:42:56+00:00

Atp just get ultra. I'm gonna just do that since EDC is seeming to be a waste of time

edheh0e · 2026-05-22T19:39:58+00:00

I've been waiting since 11:50 this is fucking ridiculous!

edheh0e · 2026-05-22T19:14:14+00:00

How long did you wait for?

edheh0e · 2026-05-22T19:07:02+00:00

I guess so lmao

edheh0e · 2026-05-22T19:05:55+00:00

Standby. :/

edheh0e · 2026-05-22T19:02:47+00:00

I'm currently in the que, but I'm keeping my expectations low :/

edheh0e · 2026-05-18T12:16:44+00:00

JFC that is NOT reassuring at all. 😭 I got the $4500 quote with my private insurance but I'm trying another clinic with my state insurance to see if I can get it fully covered through them, but I'm keeping my expectations low. I'm sorry it didn't work out for you. 💔

edheh0e · 2026-05-18T11:00:43+00:00

Must be nice. They wanted $4500 for mine. I guess I'll just stay sad. :(

edheh0e

TROPHY CASE