Discouraged...

[Pumpkinmeli 15]

I just recieved a letter from Cigna stating that they dont find it medically nessesary for me to get the sleeve. Has anyone else had this problem? If so... how did you handle this? I have spent 6 months on a diet program with a dietician, countless tests and letters. I am diabetic on medication and I have PCOS. I have a BMI of 56 and I weigh enough to qualify for surgery. How could they not see the medical nessesity of getting the surgery? Im horribly discouraged and of course I have to wait until tomorrow to call my doctor. Any help or advice you could give me would be great. Thanks!

[COsleeveDude 273]

Work with your doctor and a bariatric surgery program to craft and file an appeal. There's probably info on how to appeal the decision in the denial letter.

Seems like many insurance companies deny a lot of people on the first request, probably because there's such overwhelming demand for the surgery.

Good luck.

I just recieved a letter from Cigna stating that they dont find it medically nessesary for me to get the sleeve. Has anyone else had this problem? If so... how did you handle this? I have spent 6 months on a diet program with a dietician, countless tests and letters. I am diabetic on medication and I have PCOS. I have a BMI of 56 and I weigh enough to qualify for surgery. How could they not see the medical nessesity of getting the surgery? Im horribly discouraged and of course I have to wait until tomorrow to call my doctor. Any help or advice you could give me would be great. Thanks!

[NDN_RN 527]

I just recieved a letter from Cigna stating that they dont find it medically nessesary for me to get the sleeve. Has anyone else had this problem? If so... how did you handle this? I have spent 6 months on a diet program with a dietician' date=' countless tests and letters. I am diabetic on medication and I have PCOS. I have a BMI of 56 and I weigh enough to qualify for surgery. How could they not see the medical nessesity of getting the surgery? Im horribly discouraged and of course I have to wait until tomorrow to call my doctor. Any help or advice you could give me would be great. Thanks![/quote']

Appeal! A lot of insurance companies will reject to start just to discourage and hope you won't appeal

[Ms skinniness 3,003]

You most certainly qualify for this surgery. I'd talk with your doc tomorrow AM and have them appeal it. The only delimma is if they recognize the sleeve. They might only cover the GBP or the lap band. However, your surgeon can appeal this. Good luck.....