tamarabennett
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Anyone ever re submit a request a year later to Cigna
tamarabennett replied to Sooverit!'s topic in Insurance & Financing
the problem is the low bmi was within the last 24 months it was a bmi of 32.8, it was during my 6 months of weight loss, right now cigna is not even putting me in the 35 bmi catagory i dont know why they are not identifying my type 2 diabetes, and severe sleep apnea as comorbids and i have a hx of uncontrollable hypertension and current reading of hypertension this past august but im not sure if they will except that as a 3rd co morbidity. So right now im trying to get them to at least show me in the 35 bmi range and then fight my case from there that the low bmi was during my supervised weight loss and my average of bmi over the 24 month period was well above 35, my other problem is my supervised weight loss , my past pcp did not document everytime i saw him 9 months for it and i have 6 documentations out of the 9 times but there is one gap of 4 months so i am sure they will call that a significant gap, i went and saw an dr and talked to her about starting my supervised weight loss again and she wanted me to go to a dietician to document diet and exercise and i fear since its the dietician documenting and not the doctor that wont work either for in the future, and my 6 months of redoing weight loss would end after my 180 appeal days if they mean 180 calendar days , but when you so i dont know what to do, im trying to figure out right now when they say you have 180 days to appeal is it 180 calendar or business days, because when you call and ask how long it takes them to review things they say its 30 business days, and if i get a final denial im trying to find out how long until i can resubmit a new case -
Anyone ever re submit a request a year later to Cigna
tamarabennett replied to Sooverit!'s topic in Insurance & Financing
I am type 2 diabetic and trying to get approved with cigna and last year during my supervised weight loss I went below my 35 bmi twice due to I lost 70 lbs and i put it back on the minute I stopped the weight loss supervision and phentermine, how did you get cigna to approve you with you going under your 40 bmi? that is the problem i having right now im on my 2nd denial -
i just received my 2nd denial letter from cigna stating i had not shown a bmi of 40 or 35 w/1 co morb for 24 months, during my 6 months of physican supervised weight loss last year one month my bmi went down to 33.8 , i am type 2 diabetic so i should fit in the 35 bmi with one co morb catagory, I can not find in cigna guidelines if my bmi for 24 months was prior to physician weight loss or if is from now, does anyone know? can you drop below the 35 bmi during your physician weight loss or do i now have to wait until ive been over the 35 bmi for 24 months and redo my physician weight loss and not go under 35
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i have cigna and according to their guidelines since i am type 2 diabetic i need to have a bmi for at leat 24 months prior, last year during my 6 months of supervised weight loss i got down to a bmi of 33.8 once, has anyone had this happen and does this mean there is no way i will be approved, i need help