i've been going through this with cigna... for OVER A YEAR!!! my pcp to start didn't agree with my choice in WLS so she in my eyes, purposely omitted information so that i wouldn't get approved. i then moved on to another doctor who said that she supported my decision, but was still skeptical because she lost a patient to gastric bypass. i did my 6 months with her just to find out that there was basically nothing in my chart about my weight loss attempts. i have an appointment next week with my husband's pcp and we're going to try to get a handle on things.. i guess another 6 months won't kill me, right?!?