Insurance denied....

[kphoping 47]

Okay so I just found out with Cigna will consider hbp A comorbidity as long as it is uncontrolled with medication. In my case it is controlled so I did blood work to see if I can get approved another way. I am keeping my fingers crossed that this will all work out in the end.

[kphoping 47]

Update on insurance through Cigna. After peer to peer review was denied ins said that they wanted another visit with PCP and letter from doctor. Found out from PCP I now have hyperlipidemia and am pre diabetic. So doctors office resubmitted forms on Friday to the original reviewer who denied it. Geez, I am so overwhelmed and frightened at the same time. Good luck everyone else who is in the same boat as me.

[kazjim98 618]

OMG ~ insurance companies are so ridiculous..Wishing and hoping that you all get approved, my heart goes out to you all....Best Wishes

[Marycusa29 60]

Don't give up. I have my appt next week the 22. Per Cigna they requested a 4th visit. I'm so ready!!!!

[kphoping 47]

So today I received great news. I was APPROVED. I am so happy. The approval process took a good month or so to get. Now I am waiting to hear back from the surgery scheduler to see when my surgery will be. K was td it will be between September and November. I will keep you informed and thanks to everyone for all the kind words and support.

[Marycusa29 60]

Awesome!!!!!

[kphoping 47]

Awesome!!!!!

Marcycusa29... I hope you get your approval soon as well!!!!

[Marycusa29 60]

Woohoo I'm approved and have a surgery date of Sept 10th. So happy!!!!

[kphoping 47]

Congrats I am still waiting for surgery scheduler to call me back with date. I also have to take a class per hospital requirements prior to surgery.

[Marycusa29 60]

Keep me posted!!!!

[kphoping 47]

Hey Mary. I have gotten my surgery date which is October 10th. I am super excited!!! Can't wait to get to the other side. :-)

[Marycusa29 60]

That's awesome!!!! My date might be changing. The automated service for Cinga say approved. So dr office went ahead and scheduled it. But now Cigna says its not completely approved. They are still leaving the date in hopes it gets completed within the next few days grrrr.

[kphoping 47]

That's awesome!!!! My date might be changing. The automated service for Cinga say approved. So dr office went ahead and scheduled it. But now Cigna says its not completely approved. They are still leaving the date in hopes it gets completed within the next few days grrrr.

Keep me posted!!! I hope all gets straightened out.

[Bandista 7,466]

From what I was told from my insurance which is united health care, high blood pressure is not being considered a comorbidity anymore because even skinny people can have high blood pressure.

Hi there, I have United Healthcare as well and they are not going for my comorbitities (high blood pressure and sleep apnea) -- their only requirement is a BMI of 40 and they don't seem to be budging on that no matter what. I am a little borderline and so have had the mind-bending project of keeping my weight up and even cheating at the scale. Imagine cheating in the other direction, to be heavier? So screwed up! Like 240s are not fat enough? Meanwhile hospital is dragging its feet a little and United ("Passport" here in my state, there's a Harvard Pilgrim rider attached to United) went from 100 percent down to 90 percent. If we don't get this scheduled soon I worry they'll come up with other ways to make it difficult to pay out.

[Bandista 7,466]

That's awesome!!!! My date might be changing. The automated service for Cinga say approved. So dr office went ahead and scheduled it. But now Cigna says its not completely approved. They are still leaving the date in hopes it gets completed within the next few days grrrr.

Keep up the good fight -- seems like you are almost there! It's going to be so worth it, all this hassle. Best wishes to you -- I hope you get there soon.