Cigna

[IWannaBeHealthy 2]

I am looking for some positive experiences with Cigna... My doctors office is submitting to my insurance this week and I am more anxious now than i have been the whole last 6 months. Here is what they are submitting

I have a BMI of 40

I am on medication for high blood pressure

PCP clearance

Cardiologist clearance

3 month dr assisted weight management

Eval and recommendation from bariatric doctor

Psych eval and clearance

Only thing that I can not prove is that I have been at a 40 bmi for 24 months or greater... But, no where does my coverage info state that is required.. I am really having trouble with my patient coordinator and I am actually calling and speaking to her supervisor first thing tomorrow morning as she has told me on two occasion that she was submitting to insurance but when I call to Cigna, nothing has been recd.. So frustrated with her.. This process is very stressful and I dont thing she gives a crap..

Thanks!!!

Pray for 8 (approved = 8)

[Carolina-Girl 28]

My coordinator submitted on Tuesday but it was not "received" until Thursday. With larger companies it can take a few days to be officially processed and marked as "received" prior to consideration for approval. Of course, I was on pins and needles the whole time and then the day after they received it that department was closed for a companywide event. In the end, all is well and I am waiting to hear back from the doctors assistant regarding scheduling.

[ajeeprider 94]

I to have done all my requirements. My BMI ranged from 38-39.8. I got dx with severe sleep apnea in Feb, have had OA of my knees for 3 yrs...but no other co-morbities. My surgeon submitted on last Monday and after reading the Cigna threads I think I better call to chi the status. I have a surgery date of April 24. I hope everything works out for you.

[ajeeprider 94]

Update! I called Cigna on Monday and was told mine was in review. They got everything on April 10th and it would take 5 days to review for medical necessity. The 1st day was the 11th so I I should hear on Thursday. My surgery is a No go if we don't hear from them with an approval by Friday.