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Hey, sorry this took so long! I do have Cigna Open Access Plus. They wanted me to have been on a supervised, documented, weight loss program for at least six consecutive months, sometime in the past two years. I hadn't done that, so I went to my surgeon's nutritionist. I could not miss a single month, even by a day. Your surgeon's office should know what you have to do. They probably have experience with your insurance plan already. Have you found out anything yet???