I also have Cigna insurance and I am so scared I wont be approved. I have a BMI of 52% with bilateral leg swelling when standing,and take medicine.I guess I am wondering if anyone with a BMI over 50% had trouble with insurance? I also have hypertension. I work for a hospital and have been doing my classes with the facility because everyone in town goes here for their classes. I am having my last class in on 4/16 and went ahead and scheduled my surgery around 5/23, due to my surgeon taking alot of vacations. Has anyone had issues with Cigna and needing more than 2 health issues if your BMI is over 50? I am a worry wart.