Ciaobella 76 Posted August 10, 2012 Yeah!! Double check to make sure you have all of the other requirements too. They slightly changed as well, but nothing too major. Now your medical doctor not only has to clear you, but also RECOMMEND you for surgery. You will also need an evaluation/letter from a nutritionist. Don't give Cigna any chance to deny you and keep us posted! Cigna will call your surgeon with the approval before you get your letter. :-)) 1 L Belle reacted to this Share this post Link to post Share on other sites
jrzygrl72 26 Posted August 26, 2012 Hi! Just wondering if you had your surgery yet? I'm new here as well. I am in Columbia south Carolina and waiting to see my surgeon and hopefully get a date! Share this post Link to post Share on other sites
L Belle 96 Posted August 27, 2012 Hi Jrzy. No I haven't had my surgery yet. I am waiting on approval from the Insurance company. I actually just got off the phone with them, and they said they should have an answer within 5 days, so I am praying, crossing my fingers and whatever else I need to do. I go to Columbia some, I have family in Chapin. Share this post Link to post Share on other sites
Ciaobella 76 Posted August 27, 2012 Hi Jrzy. No I haven't had my surgery yet. I am waiting on approval from the Insurance company. I actually just got off the phone with them' date=' and they said they should have an answer within 5 days, so I am praying, crossing my fingers and whatever else I need to do. I go to Columbia some, I have family in Chapin.[/quote'] Waiting is so hard, but Cigna is quick. It took about 5 days for my approval too. Praying you get good news soon!! Share this post Link to post Share on other sites
rurias 23 Posted August 27, 2012 Hey ladies, just a quick question my sister has Cigna and was considering WLS does Cigna cover the surgery or just a percentage? Share this post Link to post Share on other sites
Ciaobella 76 Posted August 27, 2012 Hey ladies' date=' just a quick question my sister has Cigna and was considering WLS does Cigna cover the surgery or just a percentage?[/quote'] It depends on her plan and whether the subscriber's employer covers WLS. It also depends on what level of coverage the subscriber has. I elected for a plan that pays 90% after deductible ($300 and met a long time ago). I obviously pay the other 10% and my out of pocket max is $2000, so the most I would pay is $2000. However, I will only have to pay $850 because I've already paid $1150 for tests, sleep study, etc. She just needs to call Cigna and ask if it's covered under her plan. Share this post Link to post Share on other sites
L Belle 96 Posted August 27, 2012 I guess it depends on what type she has. Mine is the normal, 80/20 til I meet the deductible then it's 100%. Share this post Link to post Share on other sites
kisersassy 369 Posted August 27, 2012 Can you explain that too me about the insurance?? I have been so confused on what I will have to pay. I am on a 90-10 plan, $100 in network deductible and then it says $750 in network deductible which all has been met. So far I haven't had to pay for any of my tests. I just confused how it all works Share this post Link to post Share on other sites
kisersassy 369 Posted August 27, 2012 Also I have no Co pays Share this post Link to post Share on other sites
L Belle 96 Posted September 7, 2012 So, Insurance notified me they had everything they needed but my PCP to give me a medical release and of course she made me come in for an appt. So I did that Wednesday, and faxed it to my surgeon's office and they sent it on to my Insurance. Hopefully I will hear soon with an approval. Crossing my fingers!! Share this post Link to post Share on other sites
kisersassy 369 Posted September 7, 2012 Good luck belle hopefully you will get a fast approval Share this post Link to post Share on other sites