Jump to content
×
Are you looking for the BariatricPal Store? Go now!

CIGNA APPROVED ME!



Recommended Posts

IN 5 days! I called the customer service line to check my authorization today....and it said I was Approved and my approval number! Usually I would get a live person to explain where things were. My surgery is on Wednesday the 24th...so to all you Cigna insurers....follow their criteria exactly as outlined for approval. I used my PCP to do my nutritional 3 months of supervised dieting. Coached her on how to do 3 separate clinic notes and the buzz words she needed to mention so that they were highlighted in my clinical picture. My BMI was 38-39. With a long documented history of OA of both knees and severe sleep apnea( diagnosed during my assessment and complaints of loud snoring getting worse as reported by my husband)which showed up with my increased weight. So her recommendation rather clearance letter for the surgery was only one paragraph the said I was a good candidate, had failed multi attempts to maintain any weight loss and that my weight has increased pressure on my knees and further caused my severe apnea. Of course my bariatric surgeon did a good job too...I just did not see his note.

So....next week this time I will have joined the ranks of sleepers.. This website I have scoured over many threads and have found it to be quite helpful. Since December I have been lurking and learning..so I am encouraging all my Cigna insurers keep the faith, but document well and follow requirements to the letter. Good luck and hope you will have a great outcome....keep the faith!

Share this post


Link to post
Share on other sites

Yay for you!! Congrats!! Keep us updated!! :)

Share this post


Link to post
Share on other sites

Thanks...and I will....have to share my experience because this site has been very valuable to my journey because others have shared theirs!

Share this post


Link to post
Share on other sites

Oh I am so glad you posted. My PCP used the same wording and I was worried. Have my last appointment. Monday and them they will submit. Fingers crossed for quick approval.

Share this post


Link to post
Share on other sites

Sissytx, if you followed their guidelines, you will be fine! You will be sharing good news soon!

Share this post


Link to post
Share on other sites

Tennessee Sleever Soon,

Paperwork sent to Cigna on 4/15/13, got approval number today. YEA YEA YEA! Due to Doctor schedule surgery will probably be sometime in June. I am super excited! Thanks Cigna

Share this post


Link to post
Share on other sites

So glad you will be joining us! Congrats!

Share this post


Link to post
Share on other sites

This is great to hear about Cigna and fast approvals... I've done my 3 months, my consultation is this coming Wednesday, psych consult the next Wednesday, my pcp is totally on board, and in the same network as my surgeon... Hopefully this will be a relatively quick process...

Share this post


Link to post
Share on other sites

Yes congrats that is awesome!!! this gives me hope! my last month of PCP visits is this month I have everything else all done this totally make me feel like there is light at the end of this tunnel!!

Share this post


Link to post
Share on other sites

If you followed criteria, Cigna seems to hold up their end of the insurance contract. Good luck to you all!

Sent from my iPad using VST

Share this post


Link to post
Share on other sites

Tennessee Sleever Soon,

Paperwork sent to Cigna on 4/15/13, got approval number today. YEA YEA YEA! Due to Doctor schedule surgery will probably be sometime in June. I am super excited! Thanks Cigna

Congrats

Share this post


Link to post
Share on other sites

My Cigna approval came 5 days after clinical notes were sent. Follow their rules. I start my preop diet Monday. Have my preop appointment tomorrow morning.

Share this post


Link to post
Share on other sites

I went through True Results..yesterday was my last visit of the four weight loss consultations that was required and I have completed everything else that Cigna has required but the insurance coordinator said that because my PCPs letter did not say it was a medical necessity that I may not be approved. It did say he thought I was a good candidate and I have HBP with a BMI of 43. I am hoping that I get a quick approval like u.. But either way congrats and good luck...

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×