My file is in "Review" with Cigna!

[Blueeyes66 11]

I've been to the emergency room this weekend found out I have a bulging disc in lower back and I have degenerative disc disease....and I'm in severe pain I'm on steroids tramadol and flexeril....last week I was denied my gastric bypass because there was no medical nessessity...I watched my father die of congestive heart failure my mom has high blood pressure and diabetes. My sister has the same thing. I have high blood pressure and high cholesterol on top of the degenerative disc disease and bulging disc. Is that not enough to approve it?

[Daisee68 2,493]

That should be enough. Have you actually received a denial letter? If so, then your doctor submitted incorrect or incomplete info. You may have to file an appeal documenting everything that is outlined in that letter IF they don't approve. Have you reviewed the details to the Cigna requirements? Do you know that your specific plan covers weight loss surgery? (I was told by them about half of their plans do and half don't.)

[Blueeyes66 11]

I received a denial letter....Ive read everything I could and even confirmed with cigna that they cover the surgery..Ive talked to them numerous times asking questions about the coverage and other things...But, still NOTHING.

[Daisee68 2,493]

@@Blueeyes66 - then you are definitely going to have to file an appeal and get copies of all the stuff they say they don't have from your doctor. The surgeon has to release those records to you. You will have to send that info with a letter filing the appeal. Annoying for sure. Your surgeon's office should be doing this but if they won't, you will have to. Sorry. Very frustrating.