Cigna denial

[catobird1225 13]

I have a couple if reasons I was denied by Cigna.

1. I had no nutritional assessment but I went to a nutritionist today!

2. I only had 2 months not 3 required of dr.supervised at loss

3. My Pcp letter on said I was cleared not cleared and approved!

So my question is, can I add another doctor supervised counseling now or will I have to see the doc for 3 consecutive

[ejsfanatic 98]

Holy cow, I have Cigna and will have to look at my PCP Letter. You should be able to do the last month of supv WL. I am into my 2nd week of the 2nd month. I have one question. Did you have to submit a food diary?? I am keeping a hard copy as well as one o line, in case they need it. Did you do 60 days of Supv weight loss?? If you log into mycigna.com and type in weight loss surgery, you will get pages and pages of the requirements for cigna to approve.

Good luck.

[wadaytaymidamie 1]

I have cigna as well and I had no clue that we needed to do food diaries? I go in for my psychological evaluation Friday and my last weigh in on the 31st. Plus I got my nutritionist meeting or whatever out of the way....is there something else I should be doing? I really want to get approved.

[CMWSleeved 10]

Good morning to everyone,

I have Cigna and work for Cigna as well. You will need the following.

https://cignaforhcp.cigna.com/public/content/pdf/coveragePolicies/medical/mm_0051_coveragepositioncriteria_bariatric_surgery.pdf

[CMWSleeved 10]

Also ladies. The 3 consectutive months does not include your initial evaluation/consultation. So this means you should be submitting 4 months of documentation all together.

[ejsfanatic 98]

Thank you CMW, i have this printed out and filed with my paperwork from the bariatric doc. At my initial appt, i brought it in to review with the PA.

Om a side note I think its crazy that Cigna doesnt consider the removal of excess skin for psych reasons medically necessary. In this country, we place too little importance on the psychological well being of our citizens.

[wadaytaymidamie 1]

Thank you CMW!!!

[catobird1225 13]

Thank. You cmw! I'm going to go cry now! The thought of going through YET another medically supervised program makes me want to puke! Every year for the past 16 years, Ive done one program or another with great success, only to fail a few weeks down the road upon completion. Really sad!

[CCRNonherway 78]

I have a couple if reasons I was denied by Cigna.

1. I had no nutritional assessment but I went to a nutritionist today!

2. I only had 2 months not 3 required of dr.supervised at loss

3. My Pcp letter on said I was cleared not cleared and approved!

So my question is' date=' can I add another doctor supervised counseling now or will I have to see the doc for 3 consecutive[/quote']

Don't be discouraged these are easy enough to fix. I was denied initially but once I did what they asked, I was approved. Just follow their policy TO THE LETTER and all will be well.

[CMWSleeved 10]

Question for you Catobird1225

The supervised weightloss that you have done already, was that within the last 2 months? Meaning do you already have documentation for June, July or July and August?

[SuzyB 182]

That is awesome Cigna spells it out so clearly. Bc/BS does not.

Thanks for sharing

[juliansmommy 67]

Thank u for this... Just starting out! Very helpful!!!

Just starting my journey to a new me! sent from my iPad