Stacey Lynn 8 Posted January 28, 2013 Hello everyone, I am new to the site. I am in the process of having all my medical needs done in order to have the Gastric Sleeve Surgery. All I have left to do is my sleep study which is this Friday and I am waiting for an appt. for my endoscopy. Then I guess they will submit everything to my ins. co. I have Great West-Cigna and have followed everything to a T in order to be approved. What are the chances they deny me for some reason??? I would be so upset!! I am so ready to have a new beginning!! Share this post Link to post Share on other sites
sistabigbone68 4 Posted January 28, 2013 Congrats!! I hope all goes well for you. Don't give up... Share this post Link to post Share on other sites
littleone75 12 Posted January 28, 2013 I have Cigna too, but don't see my doctor for the first time until tomorrow. I read through my policy and it looks like I am required to have 3 months of monitered visits with the doctor. Mostly depends on the BMI and co-morbidity, which I qualify just based on that alone. Good luck in your steps. I am looking forward to getting in there tomorrow and seeing what he has to say! 1 Stacey Lynn reacted to this Share this post Link to post Share on other sites
SweetnCurvy 112 Posted January 28, 2013 Hello everyone' date='I am new to the site. I am in the process of having all my medical needs done in order to have the Gastric Sleeve Surgery. All I have left to do is my sleep study which is this Friday and I am waiting for an appt. for my endoscopy. Then I guess they will submit everything to my ins. co. I have Great West-Cigna and have followed everything to a T in order to be approved. What are the chances they deny me for some reason??? I would be so upset!! I am so ready to have a new beginning!![/quote'] U sound just like me a couple weeks ago lol. I had just had my sixth visit with my pcp and I had followed all the directions of my surgeon's office and insurance but when it came time to submit I was a nervous wreck thinking that ins. would find some type of idiotic loophole to deny but when they submitted, ins approved me the same day! So all in all DONT WORRY, THIS WILL HAPPEN, U HAVE NOT BEEN BROUGHT THIS FAR FOR NOTHING:) Good luck! 1 Stacey Lynn reacted to this Share this post Link to post Share on other sites
Stacey Lynn 8 Posted March 5, 2013 My surgeon's office called last week to tell me my insurance co. wanted additional information from my primary doctor. Today I got a letter from my insurance co. saying that they were not approving the surgery because it was not deemed medically necessary and that information was not provided by primary physician. I have not spoken with my surgeon's office yet but based on opinions is this a final decision or will the insurance co. change once they get the info from my primary??? Freaking out here!!! I have ran up so many medical bills in order to have this surgery!! Share this post Link to post Share on other sites
Rycherchick 147 Posted March 5, 2013 You appeal it. They want to see how bad you want it and to what lengths you will go to have it. Your doctors office will know what to do. Share this post Link to post Share on other sites
kokomoshell 3 Posted March 6, 2013 what r the test u all have 2 do 1st??? im new n dont c a Dr. till 3/20.. just wondering all the test ill have 2 go throught 2 get approved??? Share this post Link to post Share on other sites
Thenewmrssmith 36 Posted March 6, 2013 what r the test u all have 2 do 1st??? im new n dont c a Dr. till 3/20.. just wondering all the testill have 2 go throught 2 get approved??? Every doctor is different but mine required me to meet with a nutritionist, be evaluated by a psychologist and I needed a letter of recommendation from my PCP. Share this post Link to post Share on other sites
Stacey Lynn 8 Posted March 13, 2013 what r the test u all have 2 do 1st??? im new n dont c a Dr. till 3/20.. just wondering all the test ill have 2 go throught 2 get approved??? I had to see a nutritionist, psychologist, primary for a detailed physical with tons of lab work. I also had to have a sleep apnea study and an endoscopy. The good news is after all that I have met my deductible so the surgery itself shouldn't cost me much! Share this post Link to post Share on other sites