I used to have my blood tested prior to having an annual physical. Now, Cigna has told the doctors that patients must see the doctor 1st during the physical and then have the doctor "approve" the blood test. Now, I do not get to discuss any issues that may come up from the blood test during the physical. Cigna is definitely hoping 10% to 20% of patients who have annual physicals do not get a blood test. Why? So Cigna can save millions and improve their bottom line. Healthcare companies like Cigna are ridiculous. Patient health means nothing. Profits are what drives companies like Cigna. Who's the suit that came up with this great "cost savings"???