Cigna questions-frantic

[KensingtonWalk 10]

This is a great thread. Thank you everyone. I am starting my voyage next month and also have Cigna. It's good to be forewarned and forearmed!

[AfitRN2015 33]

I also have Cigna and they required a second opinion from a doctor other than my surgeon recommending I have the procedure. Once that was sent in I was approved. I'm all set for July 20th. Start my pre-op diet on 7/3. Whew. Started the process in February so it hasn't been too bad. I'm not a patient person so I'm glad I have a date now. I've got my ducks in a row and am ready to move forward with this new chapter in my life.

[KensingtonWalk 10]

Would a GP be considered a second opinion? He is the one who told me I would qualify and suggested it to me.

[AfitRN2015 33]

Yes, he just needs to provide a letter to your surgeon's office and they can submit everything together. I was denied at first because I didn't have the second opinion. Once they submitted that piece I was approved within a week.

[KensingtonWalk 10]

What other requirements did you need to meet? Three months or six months of starvation with no results before you could have the procedure? ????

[3bzmom 96]

3 months of weightlessness as appta with your doc, but you don't have to lose a set amount of weight. I didn't lose any. It actually ended up being 4 appts total.

[KDM74 186]

This link will give you all the requirements for Cigna.

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

[megieg 7]

I have cigna as well and my stuff was suppose to have been submitted on 6/18. I have not heard from cigna yet. I am very nervous. I am worried that she may had not even submitted it bc she has been very forgetful. I have my fingers crossed to get an approval this week.

[KensingtonWalk 10]

Thank you everyone! Good luck with your submission. Fingers crossed your approval is quick! I am really trying to gauge my expectations but don't want any delays at the same time.

[xrayyoung22 16]

@megieg: I call Cigna everyday. I apologize to them but remind them that to them, it's just a job, but to me, it's my life. Cigna reps are usually very understanding so maybe you should call. PS: I still don't have an answer so not sure calling helps.

[KensingtonWalk 10]

I agree calling to check in the status is a good idea. Not to make a pest of yourself but to be your own advocate.

[MrsRoboto 370]

I have cigna as well and my stuff was suppose to have been submitted on 6/18. I have not heard from cigna yet. I am very nervous. I am worried that she may had not even submitted it bc she has been very forgetful. I have my fingers crossed to get an approval this week.

It's nerve wracking, isn't it? My info was supposedly submitted on 6/19 and my surgeon said approval should only take 2-3 days. I haven't heard anything yet and I jump every time the phone rings.

[megieg 7]

@megieg: I call Cigna everyday. I apologize to them but remind them that to them, it's just a job, but to me, it's my life. Cigna reps are usually very understanding so maybe you should call. PS: I still don't have an answer so not sure calling helps.

Thank you for the idea l I called this morning. Cigna stated that they received it on the 22nd which was last Monday is still pending fingers crossed I hear something soon

[megieg 7]

I have cigna as well and my stuff was suppose to have been submitted on 6/18. I have not heard from cigna yet. I am very nervous. I am worried that she may had not even submitted it bc she has been very forgetful. I have my fingers crossed to get an approval this week.

It's nerve wracking, isn't it? My info was supposedly submitted on 6/19 and my surgeon said approval should only take 2-3 days. I haven't heard anything yet and I jump every time the phone rings.

yes it is very nerve-wracking I called Cigna this morning they stated they received it on the 22nd she did tell me that it look like it was pending for inpatient surgery on August the 28th so falls approve it looks like my date to August the 28th . Hope I get approved soon

[KensingtonWalk 10]

Woo hoo!!!