How to appeal a Cigna denial

To appeal a Cigna denial, file an internal appeal within 180 days of the date on the denial letter; Cigna returns standard decisions in 30 days, and if it upholds the denial you can request an independent external review within 4 months. Pick your treatment below for a step-by-step guide.

Appeal guides by treatment

Each guide covers the Cigna-specific filing window, decision timeline, common denial reasons, and how to submit your appeal.

• Cigna glp-1 weight-loss drugs denial →
• Cigna mental health & behavioral health denial →
• Cigna fertility & ivf denial →
• Cigna adult adhd medications denial →
• Cigna specialty biologics denial →
• Cigna cancer treatments denial →
• Cigna ms treatments denial →
• Cigna surgery denied as 'not medically necessary' denial →
• Cigna out-of-network emergency denial →
• Cigna migraine cgrp inhibitors denial →
• Cigna pediatric therapy denial →
• Cigna continuous glucose monitors & insulin pumps denial →
• Cigna genetic testing denial →
• Cigna hepatitis c cures denial →
• Cigna sleep medicine — cpap, bipap, asv, oral appliances, inspire hns denial →
• Cigna dme — wheelchairs, prosthetics, orthotics denial →
• Cigna dental — medical necessity, oral surgery, tmj, cleft palate denial →
• Cigna interventional pain — scs, rfa, esi, kyphoplasty denial →
• Cigna substance use disorder treatment (sud/moud) denial →
• Cigna rare disease — ert, substrate reduction, gene therapy denial →
• Cigna hiv prep & hiv treatment denial →
• Cigna hearing aids, cochlear implants, baha denial →
• Cigna hemophilia & bleeding disorders denial →
• Cigna cystic fibrosis & pulmonary fibrosis denial →
• Cigna cardiology drugs denial →
• Cigna cardiac devices & procedures denial →
• Cigna neurology — alzheimer's, parkinson's, als, epilepsy denial →
• Cigna sickle cell & thalassemia denial →
• Cigna vision & retinal — anti-vegf, ga, gene therapy denial →
• Cigna kidney disease — ckd, esrd, igan, adpkd denial →
• Cigna endocrine (non-diabetes) denial →
• Cigna liver (non-hcv) — nash/mash, pbc, aih, wilson denial →
• Cigna women's health — menopause, endometriosis, pcos, ppd denial →
• Cigna copd severe + alpha-1 antitrypsin deficiency denial →
• Cigna diabetes drugs & insulin denial →
• Cigna asthma & severe allergies denial →
• Cigna orthopedics & sports medicine denial →
• Cigna gerd & severe reflux denial →
• Cigna ibs & functional gi denial →
• Cigna eating disorders — residential / php / iop denial →
• Cigna osteoporosis denial →
• Cigna long covid / pasc denial →
• Cigna severe acne denial →
• Cigna eosinophilic esophagitis (eoe) denial →
• Cigna iv iron infusion denial →
• Cigna hereditary angioedema (hae) denial →
• Cigna compounded glp-1 denial →
• Cigna pediatric oncology denial →
• Cigna maternity & postpartum denial →
• Cigna stroke & neuro rehab denial →
• Cigna lupus & rheumatology denial →
• Cigna chronic wound care denial →
• Cigna immune globulin (ivig/scig) for pidd denial →
• Cigna adult car-t cell therapy denial →
• Cigna myasthenia gravis & cidp denial →
• Cigna pulmonary hypertension denial →
• Cigna amyloidosis (cardiac attr + al) denial →
• Cigna spinal muscular atrophy denial →
• Cigna autoimmune cytopenias (itp + aiha) denial →
• Cigna c. difficile infection denial →
• Cigna solid-organ transplant denial →
• Cigna men's sexual health — trt + ed denial →
• Cigna treatment-resistant depression — rtms, spravato, ect denial →
• Cigna inflammatory bowel disease (crohn's + uc) denial →
• Cigna plaque psoriasis + psoriatic arthritis denial →
• Cigna atopic dermatitis (ad / eczema) denial →
• Cigna glaucoma (drops + procedures + surgery) denial →
• Cigna multiple myeloma (non-car-t) denial →
• Cigna prostate cancer denial →
• Cigna melanoma & melanoma-immunotherapy denial →
• Cigna pediatric epilepsy denial →
• Cigna growth hormone replacement therapy denial →
• Cigna bph procedures + medical therapy denial →
• Cigna lymphoma & leukemia (heme malignancies) denial →
• Cigna bone marrow transplant (allogeneic hsct) denial →
• Cigna neurosurgery — discectomy, laminectomy, craniotomy, shunt denial →
• Cigna radiation oncology — proton, sbrt, brachytherapy, imrt, iort denial →
• Cigna thyroid eye disease (ted) — tepezza (teprotumumab) and igf-1r therapy denial →
• Cigna compounded medications (non-glp-1) — bhrt, ldn, ketamine, custom-dose pediatrics denial →
• Cigna ent / otolaryngology — sinus surgery, septoplasty, tonsillectomy, head & neck denial →
• Cigna vascular & endovascular — aaa, carotid, pad, varicose veins, ivc filters denial →
• Cigna bariatric surgery — rygb, sleeve, duodenal switch, sadi-s, revision, esg denial →
• Cigna interventional radiology — ufe, pae, tips, y-90, tumor ablation, kyphoplasty denial →
• Cigna neuropsychological & psychological testing — adhd, tbi, dementia, asd, presurgical eval denial →
• Cigna mohs surgery & dermatologic surgery — bcc, scc, melanoma in situ, slnb, pdt denial →
• Cigna pediatric subspecialty — cardiology, gi, pulmonology, rheumatology, endocrinology, neurology denial →
• Cigna reconstructive plastic surgery — lymphedema, panniculectomy, burn, mohs, hand denial →
• Cigna inpatient rehab — irf / snf / ltac admission and length-of-stay denial →
• Cigna hospice / palliative — eligibility, gip, recertification, concurrent care denial →
• Cigna home healthcare — home nursing, home infusion, home pt/ot/slp, home aide, hospital-at-home denial →