Yes! Now I Can Breathe

[innerme 26]

After all the hoop jumping with the insurance and waiting for the decision from the insurance company, I finally heard from the dr's office saying that they got the approval. It has taken so long to get to this point that I am so FREAKIN EXCITED!

Sounds really strange even to me to be excited about having 80% of my stomach removed but I am so looking forward to doing all the things I haven't been able to do for so many years!

[NancyJerry 139]

Congrats!!! Looking forward to sharing the Loser's bench with you!!

[butterbean 30]

congrats!

[JustSleeveMe23 15]

Congratulations!! Can I ask what company you have?

[innerme 26]

Congratulations!! Can I ask what company you have?

I have Cigna- I met every written qualification - they were extremely anal w the paperwork. My drs office literally sent the copies of each mths checkups and they gave a denial within 5 days saying they wd like my physician to extract particular pieces of info and combine on a form. They then asked for a second peer to peer to determine medical necessity. I truly believe their mission is to wear us down. Only the strong will survive.

[JustSleeveMe23 15]

I have Cigna too. If they want a fight, I'll give them a run for their money, for sure! I'm not going down easy, that's for sure!!! I've wanted this too bad for too long and lost too much sleep over their requirements already!

[innerme 26]

I have Cigna too. If they want a fight' date=' I'll give them a run for their money, for sure! I'm not going down easy, that's for sure!!! I've wanted this too bad for too long and lost too much sleep over their requirements already![/quote']

One thing I can tell you- when the paperwork is first submitted Cigna puts notes on their system that their reps can view and relay. After it was denied the physician who works for Cigna that is reviewing the case does not post any notes at all that can be seen until everything is finalized so with me I kept being given in accurate info from Cigna about what they were waiting on. It was after two frustrating ph calls that I was told that once they assign a physician to review all communication from the surgeons office goes directly to the physician directly so there is a lag time before information is viewed by other Cigna staff.

[Rootman 1,101]

Congrats! I wish you the best and looking forward to hearing from a slimmer you in the future.

[JustSleeveMe23 15]

One thing I can tell you- when the paperwork is first submitted Cigna puts notes on their system that their reps can view and relay. After it was denied the physician who works for Cigna that is reviewing the case does not post any notes at all that can be seen until everything is finalized so with me I kept being given in accurate info from Cigna about what they were waiting on. It was after two frustrating ph calls that I was told that once they assign a physician to review all communication from the surgeons office goes directly to the physician directly so there is a lag time before information is viewed by other Cigna staff.

Thanks for the heads up! My file was faxed last Wednesday. I called Thursday and they said they hadnt received anything. Then I called Friday and they said they received paperwork in their system Wednesday but no processing yet. I was given the preauthorization dept direct ph number Friday. So I called it yesterday and was told my file was started processing Thursday afternoon. Talk about conflicting information! Lol

I was also told on Friday that I needed to wait at least 30 business days for an answer. Then yesterday I was told a nurse could make the decision in 5-7 days from last Thursday! I wish I could get some consistent information!

[innerme 26]

Good luck! They told me the first time I talked that they tell people up to 30 days but they usually have a decision in 8-10 days.