Check your Cigna plan’s formulary and contact your plan’s customer service or your doctor’s office for the most up-to-date information. Requirements vary widely depending on your specific coverage.
What to Expect
Generally, prior authorization involves providing Cigna with medical documentation supporting the medical necessity of Cialis for your condition. This usually includes details from your doctor regarding your diagnosis, treatment history, and why other treatments were unsuccessful or unsuitable. Your doctor will likely submit this information directly to Cigna.
Necessary Documentation
Commonly requested documents include: a completed prior authorization form (obtainable from Cigna), detailed medical records outlining your condition, and records documenting previous treatments and their outcomes. Failure to provide complete and accurate documentation may result in a delayed or denied request. Ask your doctor’s office for assistance in gathering necessary paperwork.
Timeframes and Appeals
Cigna typically reviews prior authorization requests within a specified timeframe, often detailed in your plan’s materials or on their website. If your request is denied, you have the right to appeal the decision. Detailed instructions on the appeals process are usually included in the denial notification. Contact Cigna member services immediately if you have questions or if your request is taking longer than expected.
