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Everything posted by AllthingsApple
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UPDATE: I was denied by Cigna. The reason..."the Doctor needs to provide more clinical notes". When asked what EXACTLY was needed in these clinical notes, it he rep said,"well I don't have access to the pre-certification database but they will send a letter to the Dr". Disheartening to be made to jump through all of these hoops AND continuously be down in weight at each required visit just to be told we need more notes. ****If you have Cigna be sure you have this exact language in your Primary Care Physician's letter or you will be denied: " {Enter your name} has been recommended and cleared for Bariatric surgery from a primary care standpoint."
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Anxious over approval ????
AllthingsApple replied to AllthingsApple's topic in Insurance & Financing
UPDATE: I was denied by Cigna. The reason..."the Doctor needs to provide more clinical notes". When asked what EXACTLY was needed in these clinical notes, it he rep said,"well I don't have access to the pre-certification database but they will send a letter to the Dr". Disheartening to be made to jump through all of these hoops AND continuously be down in weight at each required visit just to be told we need more notes. -
Anxious over approval ????
AllthingsApple replied to AllthingsApple's topic in Insurance & Financing
Well 48 hours from last Wednesday has now been moved to July 1st. But that's okay since its in review and not denied status. No news is good news I guess????? -
Anxious over approval ????
AllthingsApple replied to AllthingsApple's topic in Insurance & Financing
Some good news! I should have an answer within 48 hours. So I'll give them a break tomorrow and call back Friday????. -
My packet was submitted to Cigna yesterday and I'm hoping there are no issues and that my PCP's letter of recommendation/necessity is sufficient...it seemed somewhat general to me but my case manager sent it through. Fingers, toes, and eyes crossed ????. I'm planning on calling today just to ensure they received it and then bugging the heck out of them since they make us jump through so many hoops.
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My case goes to insurance today!
AllthingsApple replied to emtscott54's topic in Gastric Sleeve Surgery Forums
I have my final appointment to go over all of my tests from the insurance required 3 month monitored weight loss on Monday. I cannot wait! I pray they submit everything that day and I can get approved quickly. Does anyone know if they'll let you schedule a 'soft' date while waiting for insurance????? I figure it doesn't hurt to ask, haha but I'm assuming NO. -
I have the Fitbit Charge and I love it. With it synced to myfitnesspal it easily shows me what I've burned based on the number of steps. I too like to challenge myself to get between 8-10k steps per day since I'm sitting all day for my job.
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I'm hoping for the same! My last follow up is June 15th and I really want them to submit THAT day. I'm excited to get to surgery day!