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Anyone who has had Cigna who had sleeve this year?



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I'm really nervous about the whole insurance thing. My most concern is being denied. I have PCOS, Pre-diabetic, Hypothyrodism, Insulin Resticance. I did have gall bladder disease and had it removed in emergency surgery last March. I've already been on a Diet since April 13' (this year) with my pcp. I have my first Surgeon Visit in June. And will have 3 classes with Nut and 1 with Psych. I'm just really nervous on the whole Cigna insurance since I've seen people on here its taking them months to get approved.

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I know the approval process varies for everyone, but my plan is administered by Cigna and I got approved in under 48 hours. Not everyone has a horror story! My surgery date is June 19.

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They were very quick with initial review. Less than 1 week. Just make sure your documentation follows the bariatric policy.EXACTLY. Mine was all there just not in the format they want it and they denied me. Now I am in appeal.

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I have Cigna and I just submitted to insurance yesterday, I'll try to let you know.

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For your Diet did you make a calendar for the whole month and what time you ate what for every day? And did you do a 3 or 6 months of Dieting?

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For your Diet did you make a calendar for the whole month and what time you ate what for every day? And did you do a 3 or 6 months of Dieting?

No wai, it was more generalized , and 3 months.

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I just posted the link to their policy under another thread. It gives you exact requirements for the supervised diet. Hope it helps!

Sent from my iPad using VST

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I've the policy all printed out now :) Thank you!!

Which I have all that written down for each month and am on my 3rd month. I was looking to have surgery in Sept, but I really want it done as soon as possible.

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It has to be supervised. Make sure to go over it with your doc or nut each month.

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Yes we started it In April when I went in for blood work.

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Well, in the last three days, (yes, ive called daily) I've gone from received, to required more clinical information, to medical review.... Frankly, the reps there may all be calling it the same thing, I don't care as long as it makes me think I'm closer to being approved! ;)

I wonder what they will say tomorrow...

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Ha I can't wait till mine is sent in. I will be calling daily.

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Well, in the last three days, (yes, ive called daily) I've gone from received, to required more clinical information, to medical review.... Frankly, the reps there may all be calling it the same thing, I don't care as long as it makes me think I'm closer to being approved! ;)

I wonder what they will say tomorrow...

From what I understand, your doctor's office "opens the claim" to get the claim number. Then Cigna "requests the clinical information" and then it goes to medical review. I initially got some letter saying they needed more information, and that's how my coordinator explained it.

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I have Cigna and was approved in a week. 40+ BMI and high blood pressure, 3 mos of PCP appts, one nutritionist phone interview, psych eval, and history of morbid obesity documented through old records. Fortunately, easy peasy for me. Good luck!!!

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