:unsure:I am sort of a newbie. I started my journey in July of 2009. I have Cigna insurance and begin the 6 consecutive months of weight management. After4 classes i missed 2 classes in a row, so now I'm starting over with weight managment, I think. I have my psyc. eval. schedule for next week and I have to get an EDG. My PCP has all ready aggreed that I am the perfect candidate for the surgery. I have high blood pressure an a border line diabetic. As of now i weigh 283 and my bmi is 44 and it has been this for about 6 years now. Is there any one out there with Cigna insurance that can give me some insight on the approval process and rate with Cigna. I have heard that the are one of the harder insurance companies.