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Everything posted by ajeeprider
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Calling Cigna members approved for surgery....please share!
ajeeprider replied to ajeeprider's topic in Insurance & Financing
Approved...Party in the OR April 24th. Thanks for your information. -
Calling Cigna members approved for surgery....please share!
ajeeprider posted a topic in Insurance & Financing
I have read through many of the Cigna posts trying to determine my chances of getting approved based on the successful Cigna insurers on this site. But there have been a few things I wish I knew so I could compare stats! If there are any of you approved Cigna sleevers who post on this site and would be so kind to help me out with filling in the gaps, it would help me better prepare what may potentially be my chances of approval. Can you share your approval stats like: BMI, how long with that BMI, co-morbities how long have you had them, did you do your weight loss plan with your dr or Nut. If your coverage required 3 or 6 months weightloss. I sort of meet insurance requirements, only needed to do 3 months supervised weightloss which I did with my primary care documenting each months visit. Met the barbaric surgery team, had my psych, nut eval. Labs drawn, EKG, got dx with sever sleep apnea during my eval now a month on CPAP. But my BMI has been only 38-39.8 during the past 6 months (although at the surgeons visit just before they submitted I was up like to 40.1) I have had a BMI no lower than 34 over the past 4 years. My md did a recommend letter although very brief..clearing me for surgery and that I would be a good candidate. The surgeon submitted my ppwk on last Wednesday. I called today and its in med review for med necessity hope to hear late this week. Any help with sharing is greatly appreciated! I am very anxious. -
Hi Ladymorgan....I just got approved today...will be joining the ranks soon. My surgeon did not require any pre-op diet restrictions...but I started weaning my sugar carb intake. It will be tough enough doing liquids for 2 weeks so I wanted to ditch my sugar cravings and withdrawal headaches now and only deal with not being able to chew food for awhile. Are you glad of your decision?
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Fired up and readybto go...just got approved for surgery by insurance.
ajeeprider replied to ajeeprider's topic in PRE-Operation Weight Loss Surgery Q&A
Thanks Laura! Lala I wish you much luck....let us know your outcome, which by the way I know will be a yes approved! -
Thanks...and I will....have to share my experience because this site has been very valuable to my journey because others have shared theirs!
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Paperwork submitted to cigna
ajeeprider replied to caitiebug's topic in PRE-Operation Weight Loss Surgery Q&A
Catiebug....sending up prayers, keep us posted. -
Hi there I am from Durham....so another NC'r. Surgery is on April 24th at UNC....excited and scared! But can't wait to get this done! It's been a long time coming!
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Any Charlotte Nc Sleevers?
ajeeprider replied to NCsleever63's topic in Gastric Sleeve Surgery Forums
Hi all...I am in Durham....surgery on April 24 at UNC with Dr Farrell.....getting nervous! -
Paperwork submitted to cigna
ajeeprider replied to caitiebug's topic in PRE-Operation Weight Loss Surgery Q&A
Cigna has been consistent each time I have called to check progress. They told me 5 business days. So I should know tomorrow. -
Update! I called Cigna on Monday and was told mine was in review. They got everything on April 10th and it would take 5 days to review for medical necessity. The 1st day was the 11th so I I should hear on Thursday. My surgery is a No go if we don't hear from them with an approval by Friday.
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1 week from today! Let the weird Surgery Dreams start :o)
ajeeprider replied to findjoy13's topic in PRE-Operation Weight Loss Surgery Q&A
How exciting I am waiting approval by Insurance. My date is April 24th if we here by Friday I am approved. If not....then it's pushed for another week! -
OMG I GOT APPROVED!
ajeeprider replied to leigh1111's topic in PRE-Operation Weight Loss Surgery Q&A
Congrats....happy for your approval! I am still waiting it will be 5 days tomorrow.....each day I hope and pray! But it helps hearing bout others success. -
Oops CB I should have address that to the initial created of the thread. Still trying to figure out the site. Some posts are old and I am hoping those older posters respond to questions.
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Cb0419....can I ask you your BMI and co morbities. I have a low BMI and only two. Did Cigna call your surgeon with the approval and they notified you?
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I to have done all my requirements. My BMI ranged from 38-39.8. I got dx with severe sleep apnea in Feb, have had OA of my knees for 3 yrs...but no other co-morbities. My surgeon submitted on last Monday and after reading the Cigna threads I think I better call to chi the status. I have a surgery date of April 24. I hope everything works out for you.