The Aetna/Cigna transition is running into a lot of issues. Between them denying coverage and SWA deciding to clamp down on their pharmacy formulary, our medical benefits are being swiftly eroded.
I have had issues getting claims paid for doctors visits for "services not covered". I got the union paid bulldog involved and she got them reversed after I made several calls to the benefits line and got fed completely false information. An expensive medication that was covered last year for my wife is no longer covered.
Other pilots are running into issues with getting medically necessary (in some cases emergency) imaging covered, pediatric insulin pumps covered, and several other issues that were previously not a problem.
My suggestion for anyone running into issues is to contact Resolute Heath Advisors through the union benefits website. She will get you the results you need.