mel2643

I also faced that exact same problem , I chose the surgeon that was out of network .... My final visit is in august then we submit for approval ....( fingers crossed ) As everyone else has advised .......the experience was what sealed the deal for me ... My out of network is 70/30 ... However I am willing to pay the 30 % ... Like mentioned prior ... It's your future and your life at stake .....

I am sooo sorry to hear that , I also was to have surgery July 9th however due to clause -not on the insurance but on my employer side - I have to wait til September .... Keep your head up .... Maybe for whatever reason it just was not meant to be in July ... waiting a couple of months is better than never having it all... who knows maybe we will both be getting it done around the same time ..

I understand completly as when I first spoke to my husband about this subject he was dead set against it . I waited for a good time to approach him and get him on board , He finally did however called me from work ( he is a police officer ) and said one of the officers had the lap band and mentioned that their is a higher divorce rate when WLS is concerned . It took a while however the insecurity is there .. I am 37 and have been with my husband since I was 14 , I just made it clear that I only want to experience this with him to make a better us ... Good Luck , send prayers your way ....

Your success is so inspirational, May you continue looking and feeling great !!!

My 6 months is up middle of august , However my surgeon will be on vacation the end of august so I am looking to the begining to mid sept for mine , I am so ready for this ..... Come on one more month until I get approved and a firm date , My stats are 37 yrs old , 5'1, 230 ... Goal weight 130 ....

Ok just finished speaking to my Benefit rep and Cigna (3 way phone call ) they have instructed me to appeal through my insurance carrier , which will take 30-45 days , then if Cigna denies me again ... then I have to appeal through my employer ... another 30 days ... That is almost the 3 months I had to wait to re-submit , with that said I will just wait the 3 months... Hey, I at least tried and feel better that I did ...

Thank you all , I know you guys are right.... I was so prepared, I will take it day by day and start to work on the new me as suggested by Patrick ... I just hope that at the end of the 6 months I am approved with no issues ....

omg , So sorry to hear that ... I am praying for you.... lots of hugs for you

That is awesome news ,,, Congrats on your success , keep up the good work ......

Congrats ...... So excited for you ...

I just called and they said , yes everything was submitted but it is still pending ..... Grrrrrrrrrr..... I am getting anxious

Hi everyone , July 9th is my date ..... So excited for everyone here ... soon we will be on the losers bench as well .....

I also chose to not tell anyone at work , My mom , husband and kids know and that is basically it , I get sleeved in July however started letting everyone at work know that I am seeing a dietician and going to the gym everyday at lunch so to them I will be loosing weight that way .....

That is what I plan on purchasing , Brazilian Butt lift ..... I have heard great reviews about this ..., good luck

I too am waiting on CIgna , My paperwork was submitted last tuesday 5/29 , I also am anxious to hear back .... However what number do you call to make sure they received the paperwork ? I am just nervous as well

Congrats on your big day .... Praying for you , I am sure you will do well

Praying for you Sammy .... I am sure you will be fine , Please update us as soon as you can

Did you pay the $4,400 upfront or did they bill you ? I think mine is $5000 because he is out of network

Well my apologies to everyone .... As yes it is true and since I am on my thrid month they will be getting started on the submittal for approval

Thank you Sleeveme81 .... Now I am all the way confused ... But i will contact my surgical cordinator and find out

Justsleeveme23 , I also looked at the policy but where you write its on top of page 2 ( Medical management including evidence of active participation within the last 12 months in a weight-management program that is supervised either by a physician or a registered dietician for a minimum of three consecutive months. ) is talking about a weight management program .... However the next bullet states the 6 months A thorough multidisciplinary evaluation within the previous six months which includes ALL of the following:  an evaluation by a bariatric surgeon recommending surgical treatment, including a description of the proposed procedure(s) and all of the associated current CPT codes  a separate medical evaluation from a physician other than the requesting surgeon that includes both a recommendation for bariatric surgery as well as a medical clearance for surgery  unequivocal clearance for bariatric surgery by a mental health provider  a nutritional evaluation by a physician or registered dietician "