mskami77 295 Posted September 16, 2013 My surgeon let us all know in orientation he will not perform surgery if you gain weight but he doesn't require weight loss. If the requirement to lose weight is based solely on insurance, you definitely should contact your insurance company. It might give the chance to make a connection with a case worker or nurse coordinator. I called my insurance to ask a bunch of questions and I ended up with a case manager. She calls me every couple of weeks and we talk about diet, activity, stress and whatever else comes up. She is also in touch with surgeons office and plans to make her own recommendation when the paperwork is submitted. I'm praying for a quick approval. :-) Good luck! Share this post Link to post Share on other sites
B.J. 16 Posted September 16, 2013 I called Cigna and they told me that if I were to have lost a lot then it wouldn't be a need for surgical intervention. They said if anything it would benefit my request for approval and prove my struggle with weight loss. Suprised! I submitted to Insurance today too. Now im excited. 2 RDCLambert and DeeMotionalEater reacted to this Share this post Link to post Share on other sites
sonya139 5 Posted September 16, 2013 I called Cigna and they told me that if I were to have lost a lot then it wouldn't be a need for surgical intervention. They said if anything it would benefit my request for approval and prove my struggle with weight loss. Suprised! I submitted to Insurance today too. Now im excited. That's awesome BJ. Keep us informed!!!!! Sent from my iPad using RNYTalk Share this post Link to post Share on other sites
mskami77 295 Posted September 16, 2013 I called Cigna and they told me that if I were to have lost a lot then it wouldn't be a need for surgical intervention. They said if anything it would benefit my request for approval and prove my struggle with weight loss. Suprised! I submitted to Insurance today too. Now im excited. Sweet! I'm excited for you! I can't wait to submit my paper work. 3 more weeks... Share this post Link to post Share on other sites
sonya139 5 Posted September 16, 2013 Sweet! I'm excited for you! I can't wait to submit my paper work. 3 more weeks... Mskami77 I'll be submitting my paper work in 2 1/2 weeks : ) Sent from my iPad using RNYTalk Share this post Link to post Share on other sites
mskami77 295 Posted September 16, 2013 Cool! Maybe we'll have surgery around the same time. I'm going to be a nervous wreck until I get a date! Share this post Link to post Share on other sites
sonya139 5 Posted September 16, 2013 Cool! Maybe we'll have surgery around the same time. I'm going to be a nervous wreck until I get a date! That would be cool. I know. I'm nervous, excited and everything in between!!! Sent from my iPad using RNYTalk Share this post Link to post Share on other sites
B.J. 16 Posted September 22, 2013 It could be any day now... Still waiting for insurance approval. For my fellow Cigna insurers, how long did it take for you all? Share this post Link to post Share on other sites
ponchik 77 Posted September 22, 2013 It could be any day now... Still waiting for insurance approval. For my fellow Cigna insurers' date=' how long did it take for you all?[/quote'] my close friend had RNY with Cigna, she waited long though, I think close to 2 weeks. Good luck Share this post Link to post Share on other sites
Deedrios 1 Posted September 22, 2013 I'm going through this same situation. I lost a few lbs for my first 2 appointments and them gained my last two. Total gain from original weight was 1 or 4 lbs ...don't remember specifically. I was told by a friend who had the surgery it didn't matter if i lost or gained i just needed to go.... i in all honesty did not take the visits seriously. So wed the dr office submitted my paperwork...i decided to go on the aetna website to check requirements just to look at them...it was there i read you could not gain weight during the dietician visits. I called my coordinator and she said not to worry about it but i can't help but be concerned as well. I should find out soon if I'm approved.....i just hope i don't get denied over 4 lbs max....i know i could doit just didn't realize it was a requirement.or i would have been disciplined! So mad at myself. I'm gonna keep my fingers crossed for you! Let us know what happens! Share this post Link to post Share on other sites
luv2nurse 7 Posted September 22, 2013 It could be any day now... Still waiting for insurance approval. For my fellow Cigna insurers' date=' how long did it take for you all?[/quote'] I have cigna as well. Pain in the butt. I got denied twice before they finally approved. My doctor had to make my case sound really good before they would approve. Each time they submitted it took maybe 3 days before hearing a reply. Just remember if they deny you, don't give up, it's probably something simple that your doctor forgot to submit. I also heard that if they continue to deny you that it is good to appeal. Just don't give up. Good Luck to you. Share this post Link to post Share on other sites
Deedrios 1 Posted September 23, 2013 Sooooo I called my insurance this morning because I couldn't take the suspense and they told me I was approved!!! B.J, I have Aetna which I know is not the same as yours but hopefully the outcome will be the same since it was a small gain. Keeping my fingers crossed for you! 1 anappleaday reacted to this Share this post Link to post Share on other sites
luv2nurse 7 Posted September 23, 2013 Sooooo I called my insurance this morning because I couldn't take the suspense and they told me I was approved!!! B.J' date=' I have Aetna which I know is not the same as yours but hopefully the outcome will be the same since it was a small gain. Keeping my fingers crossed for you![/quote'] Congrats!! Share this post Link to post Share on other sites
mskami77 295 Posted September 24, 2013 Sooooo I called my insurance this morning because I couldn't take the suspense and they told me I was approved!!! B.J' date=' I have Aetna which I know is not the same as yours but hopefully the outcome will be the same since it was a small gain. Keeping my fingers crossed for you![/quote'] Your post just made me happy! I hope Aetna approves mine quickly. I won't submit till October 7 or 8. Share this post Link to post Share on other sites
Deedrios 1 Posted September 24, 2013 Your post just made me happy! I hope Aetna approves mine quickly. I won't submit till October 7 or 8. I was totally suprised it took this short of time to approve! My coordinator told me she submitted wednesday afternoon right after my final appointment and come Monday morning I called and it had just been approved right before I called! Aetna told me it only takes 7 to 10 days and my coordinator told me 3 weeks but it came in 5 days so I was super excited! I'll say a little prayer yours comes quick as well! Share this post Link to post Share on other sites