When my husband was in the hospital, they automatically put him on the well aware program - it was darned annoying. A cigna nurse would call you all the bloody time to ask you questions about whether you were taking your meds, etc. We asked them to take him off that program, and just stopped answering the phone when it said cigna.
They haven't called in a while . . . so maybe he's off that program. Also, they approve my husband for remicade for 8 infusions at a time, ie. they authorized 8 infusions, then after that the remicade nurse has to call back for more once those 8 have been done. And once, they said the infusion wasn't covered - we called them, and they said they'd made a mistake, and everything was ok.
I have never had to work with any other health insurance company - we were both healthy when we were insured by other companies, so they are the only health insurance company I have experience with. They do sometimes need a push to do the right thing, plus you get different answers everytime to talk to one of them on the phone (so I asked them to send me a letter home, instead of taking anything they say to be true, so that I have something in writing from them). But all in all so far, they haven't let us down.
Husband with Crohn's
Diagnosed March 2003 Ulcerative Proctitis
Diagnosed March 2008 Crohn's & C-diff, hospitalized 45 days
Canasa, Lialda, Remicade, VSL#3, Florastor
In Remission since June 2008
Stopped vancomycin for c-diff Jan 1 2009
C-diff free, and in crohn's remission, knock on wood