I made my initial consultation today and my BMI was 41.5. I have Cigna OAP and have taken the time to read many of the posts on this site to prepare myself for everything. I have a couple of questions and hope to find some advise in order to limit the amount of time that I waste with Cigna. I have a 2 yr weight history of 39-41 BMI with my PCP and I am hopeful that I will not be denied. It seems to me that many people have had to have their PCP write a letter of recommedation before they are approved. Should I make an appointment with my PCP and begin the process with him prior to beginning the weight loss program or just wait? Secondly, if Cigna denies me, like they seem to be doing with many people, how soon in this process will it take before I find out that they are denying it...before or after the 6 month program?:thumbdown: