Cigna Insurance six month supervision

[jcg3800 0]

Hi everyone those of you who have Cigna Insurance and have to particpate in a six month physician supervised weight loss program, Did Cigna pay your PCP visits or did you have to pay out of pocket? Jan

[Kat817 19]

Mine was not Cigna it was BCBS, and I had to pay my own co-pay for each visit.

I know you are looking for Cigna responses, just wanted you to know someone was paying attention, and this will bump it back up.

Good Luck!!!

Kat

[lydunn 1]

I too would also like to know because I have cigna but I have in the past taking weight loss pills. Do I have to start over???/ Cigna is no help me you talk to their customer service rep's. THEY SUCK

[jcg3800 0]

I think you would have to start over with a pcp supervised diet that the doctor would document each month. On the Cigna site you can download the criteria for weight loss surgery. If you cannot find it you can call them and they will mail it to you. It is very specific as to what the requirement is.

[kathyy68 0]

JCG3800, Can you tell me what the critieria is for the six month supervision? I have Cigna International, and I dont have any info on their criteria. I have just finished my six month with my PCP and want to make sure I am good to go.

[pumpkin5 0]

Hi, I have CIGNO HMO TX. I pay $15 for each co-pay. What was wonderful about my CIGNA coverage is that there was no out of pocket expensive for pre-op or surgery. I met all of the criteria required by CIGNA. Which include more than 5 years of medically documented weight loss attempts, etc.

I was documenting all the steps I went through during my approval process. See below - I cut this from one of my previous posts.

8/9 PCP Begins Referral Process to Lap Band Surgeon

8/10 Sign PCP Medical Record Release

8/11 PCP advises referral to surgeon ready and provides me with the telephone number to call for appointment.

8/14 Darla takes intake form at Surgeon's office, someone else will call me back.

8/15 PCP Medical Records Released

9/1 Psych _Eval

9/5 Med History Review (find out I need a consultation with a nutritionist (MD) and need a stress test and heart sonogram, and blood work drawn and results).

9/5 Called to schedule the stress test and heart sonogram. Scheduled for 9/8.

9/5 Request for nutritionist referral from PCP (could take 1-5 days)

9/5 PCP calls with name of nutritionist. I call to make an appt, but can't until CIGNA approves, may take 5 days.

9/11 Nutritionist calls to advise that CIGNA approved the request. Can't be seen until 9/26.

9/5 PFT at PCP Office, and request for x-ray results

9/6 PFT Results and CXray results pick-up

9/8 Stress Test and Echo sonogram done at Cardiologist office.

9/11 Stress Test and Echo sonogram results rec'd by Surgeon.

9/113 & 9/14 check with Nutritionist for cancellations in order to get seen sooner than 9/26. No openings.

9/24 Get blood work drawn at PCP office.

9/26 Nutritional Consultation appointment scheduled.

10/2 Nutritionist consultation report.

10/4 Bloodwork results.