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Everything posted by MirandaK
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I have to do both. I know some people with other insurance have to 5 years of weight History. I called Curves today to see if they still had records from 05 but no luck she already got rid of them.
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Cigna revised coverage position 5/15/08
MirandaK replied to oscarel's topic in Insurance & Financing
This worries me. I am almost done with all their requirments but I do not have the 24 month weight proof. I have one Dr's record from 2-07 and that is it. I don't see a doctor very often so the only other record I could come up with would be from when My daughter was born in 05 but I did not have a 40 bmi then maybe a 36 or so and I do not have any other weight related issues. When it was just the 12 month I was find but now I am worried I will not get approved. -
Should I try to gain a few?
MirandaK replied to kaytiebugs's topic in PRE-Operation Weight Loss Surgery Q&A
I think thats a great idea. I am trying to stay above 40 BMI for the next two months and am really close. I might have to use your ideas. -
Should I try to gain a few?
MirandaK replied to kaytiebugs's topic in PRE-Operation Weight Loss Surgery Q&A
I would gain the 3 lbs to be safe. Most Insurance want a 40 BMI if you do not have any weight related problems. I would go on the safe side of thing and gain the weight. -
He will do my Lap band this summer and he did my sister in Dec. and she loved him. Although she has only seen him once since then. For fill you just go to AIGB. She knows there staff better then Dr. Marsden Staff.
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Getting banded 06/20/08- tenative
MirandaK replied to BATassbandita?'s topic in LAP-BAND Surgery Forums
That exciting to have a date. I have 60 more day till everything is submited to Cigna. I can't wait to get the approval and then a date. Congrats!!!!!:rolleyes2: -
What does "significant gaps" mean with Cigna?
MirandaK replied to readytoloselbs's topic in Insurance & Financing
I had to have a psych eval, a visit to a nutritionist, and a one year weight history, and six month doctor supervised weight loss program. Your policy may be differant and you may have to have a five year weight history and two visit to the nutritionist. Also bmi above 40 or 35 with one weight related issue. -
What does "significant gaps" mean with Cigna?
MirandaK replied to readytoloselbs's topic in Insurance & Financing
I think you may have to redo the six months because I am 3 weigh-in in and they have to be every 30 days.You can only go out 5 days from the 30 days or you start over. Also Jenny Craig or Weight Watcher does not count. But you never know I get told every month it is always on a case by case bases. Good Luck!! -
Hi!! I am going to be done with the six months weight loss program in June and then it goes to Cigna for approval so I am looking at July for the Surgery. I can't wait. It is going by really fast so It will be here before we know it.......
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I only have to show 12 months for Cigna. Also have to have one visit with a Nutrition and have a psychological exam. True Results will try to push the sleep study on you but if you are over 40 bmi you can refuse it. Cigna does not require it. So I refused it. I have my 12 month weight loss hstory and my nutrition visit done. So I just have the psychological exam and 4 more visits left. Just think when you go in next onth you wil be half way there.
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I am also using AIGB but in Hurst. I am 2 month in to the 6 month diet so I don't know what the final cost will be but I do know that Dr Marsden will do the surgery and he is a cigna network docter. Maybe it would be worth going to the Hurst office instead of Richardson. I do know my plan only has a 400.000 deductable and a 1000.00 out of pocket. So the most I will have to is $1400.00, but by the time I get the surgery I would have already reach my deductable so 1000.00 is what I should have to pay.
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Welcome!!! I understand about not wanting people to know yet. My Husband, mom, one friend and my sister who was just banded is all who knows. I will not tell my mother-in-law. Once I told her I was taking diet pills and she fliped out. The only reason the one friend knows is because she is getting it to. I think the reason I do not want to tell anyone is because I don't want everyone just waiting for me to lose weight. Like well she had surgury 2 months ago and she still looks the same. When I start to lose and if someone ask I will tell them. I hope you get your approval soon....
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Official Name Vote
MirandaK replied to crystalcml's topic in General Weight Loss Surgery Discussions
I have already voted but I do like victorious valentines better... -
Man I know what you mean about your husband not having any time off. My husband was in a job related accident a few months ago and had to miss alot of work. So I don't want him to miss anymore. I know he will want to be with me but my mom can be there. I am also leaning to ording from unjury. I don't want to end up with something I wont use so I am going to order samples first....
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Calling all Feb. Bandsters! Tell us about yourself!
MirandaK replied to Gibson's topic in LAP-BAND Surgery Forums
Well I'm 27 years old from Texas. i am married and am a stay at home mom to 3 great kids. I tend to be shy but am trying really hard not to be. I am starting out at 235 and only 5'3". My goal is 135, but I will settle for 150. -
Hi everyone... I just wanted to introduce myself. My name is Miranda and I am from Texas. I saw Dr. Marsden on 1-7-08 and was getting ready to start my six month diet but I really don't want to go through all the mess with insurance. I am very healthy but for being overweight so I figure it will be very hard to get approval from Cigna eventhough I am at 41 BMI.. I don't want to waste six months to be denied. So I started looking at around and found a Dr. in Dallas who will do it for 9500 cash price. It includes 4 fills. So that is what I want to do. I go in on the 29th of Jan and was told I could have Surgery within 3 week of the first visit. I can't wait. I look forward to getting to know everyone here!!!
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Welcome!!! Congrats on getting approved and Good Luck!!
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Thats great!!! Good Luck!!!
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Thanks... I can't wait too just get started. My sister was banded on Dec 31st so now I am getting impatient. I don't want her to get to far ahead of me. So I have me finger crossed that everything is going to work out and I will be right there with her.
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It a great price but in only last through Feb 29th and you fave to pay cash. Heres the website for Dr. James A. Davidson Weight Loss Surgery Gastric Bypass LAP-BAND® Adjustable Gastric Band Dallas Home Page There is another Dr too his name is Dr. Barker but I don't have his website. The seugery is done at Vista Hospital in Dallas. Hope this helps.
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*waves* Hi! Another newbie
MirandaK replied to TheBrandNewMe's topic in Tell Your Weight Loss Surgery Story
Yes this is a great site for info. I am have surgery in a few weeks too. Good luck!!! -
I glad to know I am not the only one who is scared. I don't want to let myself down or my husdand. I am at my largest ever weight and it makes me sick. I know if I have to do something. I just worry I will not lose the weight.
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I don't have a full body shot because I hate pictures but here is a up close of me and my husdand.
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I myself did not Finance But my sister did. She applied around Dec 14th was approved the same day. Went to her first visit on the 19th and had surgery on the 31st of Dec. So yes it was very fast. The docters office just called the finance company to verify and precended with the surgery.
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Hi..I am just starting out and am in my first month of the six month diet. I got a call today to set me up for a sleep study. I did not put down that I snore because I was afraid I could not fall asleep for the study. But now thay order it anyways. Which I am ok with because it could help me get approved. I am just wondering if I can take something before I get there to help me? Like a pm or Something? Will it change the outcome or not?