To kdvme, or anyone else who may have a sample letter that your primary care provider supplied, can you post it (deleting any private info, of course)? I need to provide my primary care doc a letter to be sent to Cigna because she is not familiar with the band, and I have complications with mine and need it removed. In order for Cigna to approve the band removal and the revision to the sleeve, all in the same surgery, the letter needs to be compelling. It has slipped to the base of my esophagus, causing me to end up in the ER a few weeks ago. Any help for a letter like this would be greatly appreciated. We need the surgery to happen in 3 weeks from now, due to the fact that it will be in another state and logistically we're somewhat tied to that timeframe.