Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🌈 "1 per Day!" Bariatric Multivitamins

Cigna approved...but not everything

kyrickchick64

By kyrickchick64, in Insurance & Financing

Recommended Posts

kyrickchick64    468

kyrickchick64
Posted (edited)

Well I was approved by Cigna in 9 days after the doctor filed it. They say nothing about the hernia that my doctor says I have and wants to remove. Of course my life happens and I cant have it done till this month. I had to go to my best friends mom funeral and stay with her since the day before Christmas then her sister had a heart attack. Wasnt meant to be for 2014 but I'm ready to kick 2015's ass. Extra co pays deductibles or not!

Edited by kyrickchick64

Share this post

Link to post
Share on other sites

kyrickchick64    468

kyrickchick64
Posted

Well I was approved by Cigna in 9 days after the doctor filed it. They say nothing about the hernia that my doctor says I have and wants to remove. Of course my life happens and I cant have it done till this month. I had to go to my best friends mom funeral and stay with her since the day before Christmas then her sister had a heart attack. Wasnt meant to be for 2014 but I'm ready to kick 2015's ass. Extra co pays deductibles or not!

I'll be on the doctor and insurance tomorrow about the hernia

Share this post

Link to post
Share on other sites

LSF    264

LSF
Posted

You are lucky they approved you so quickly.

Share this post

Link to post
Share on other sites

kyrickchick64    468

kyrickchick64
Posted (edited)

It's been a long road but as far as getting it signed off on was fairly quick. I jumped thru a ton of hoops to get there. @ Jenniferg2013 I was told its just a code error. I've had 2 other hernia ops and they've always paid. This sucker is starting to give me problems so it's got to go. I had one during my hysterectomy and then I had one let go one day out of the blue. I never threw up so much in my life and recovery was a bi#ch.

Edited by kyrickchick64

Share this post

Link to post
Share on other sites

BLERDgirl    6,417

BLERDgirl
Posted

Sound like you are a good friend. I'm happy to hear you got your approvals straightened out.

Share this post

Link to post
Share on other sites

LSF    264

LSF
Posted

I was denied today!! I called to find out why and they said it's because the hospital does not qualify with Cigna for Bariatric Surgery so now we have to re-submit to see if they will approve it. My surgeons office said they always have problems with Cigna

Share this post

Link to post
Share on other sites

Jersrose43    837

Jersrose43
Posted

Most insurances pay the hospital for the EVENT

surgeries are payable in a different way to surgeons.

You get the first procedure authorized - sleeve etc

The hernia is a secondary procedure. The insurance may pay for it or may deny it as inclusive to primary insurance.

Either way the patient is not responsible and it's a loss to the doctor.

As long as the procedure you want is clearly stated on auth - the sleeve. You're fine and good to go

Share this post

Link to post
Share on other sites

Jersrose43    837

Jersrose43
Posted

I was denied today!! I called to find out why and they said it's because the hospital does not qualify with Cigna for Bariatric Surgery so now we have to re-submit to see if they will approve it. My surgeons office said they always have problems with Cigna

See my pm.

This shouldn't be a problem. If it wasn't brought up before am surprised but perhaps your coverage changed on 1/1/15? This is not the type of change that an employer is required to notify you of

Share this post

Link to post
Share on other sites

mrsmith901    18

mrsmith901
Posted

This all makes me nervous! I am waiting on approval from Cigna right now. They told me they have 30 days to let me know. So nerve wrecking!

Share this post

Link to post
Share on other sites

Jersrose43    837

Jersrose43
Posted

This all makes me nervous! I am waiting on approval from Cigna right now. They told me they have 30 days to let me know. So nerve wrecking!

Actual time is more like 7-10 business days. Call and make sure they have the auth request and then call every few days to check a status

You will know before the doc

Share this post

Link to post
Share on other sites

mrsmith901    18

mrsmith901
Posted

Actual time is more like 7-10 business days. Call and make sure they have the auth request and then call every few days to check a status

You will know before the doc

Thankfully it only took 5 business days! You are right, now I have to wait for the surgeon's office to get a copy of it.

Share this post

Link to post
Share on other sites

LSF    264

LSF
Posted

Did you get a date?

Share this post

Link to post
Share on other sites

mrsmith901    18

mrsmith901
Posted

Not yet! Waiting on the surgeon's office to get the approval now.

Share this post

Link to post
Share on other sites

Jersrose43    837

Jersrose43
Posted

Keep nagging the surgeon. They get pounds of mail everyday

I forced mine to call them. Then I got the letter and faxed it over

Share this post

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Go To Topic Listing Insurance & Financing

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LadyVeteran1

      LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        buildabetteranna

        Thank you ❤️

    • Bashbee91

      Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 1 reply
      1. stevieoriole

        stevieoriole

        Am feeling this right now. My surgery date is 4/1. Sign the consent tomorrow. I feel like I overloaded myself with too much info, too many opinions. Got to the point where I was wondering if I should do this. Then I thought of my reasons for taking this step and that settled my nerves. Still get moments of doubt but am striving forward. Am just going to follow my book from the surgeon. Joined this because I was told by my dietician that I should do this for support

    • buildabetteranna

      buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Selina333

        Yay!! Congrats. I know how good that feels. 🤩

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×