Great west health thru Cigna problems

[AllisonK1986 68]

I'm not getting bypass, but the sleeve. Wanted to see if anyone else has/had gwh and if they experienced any problems? So in the beginning they told me that it would be covered and they also told the office manager and insurance lady at the hospital. Now that they submitted their saying in my policy that it doesn't say yay or nay for bariatric surgery. It just says that diet clinics r not covered, but medically necessary procedures/stuff would be covered for morbidly obese patients if deemed medically necessary. Any advice or comments would be appreciated!

[AllisonK1986 68]

Please any advice or help would be much appreciated ????

[cassie32104 70]

I don't have Cigna, but have you asked for a copy of the policy? They should be able to provide you with it. With my insurance, the policy describes everything that is covered and the requirements. Based on what you said, it sounds like your insurance should cover it because the surgery is medically necessary (morbid obesity). My insurance won't cover diet clinics either, but I do have bariatric surgery coverage.

[AllisonK1986 68]

Well my policy states exactly as is.... They do not pay for diet clinics or weight loss clinics. But if you are morbidly obese, they will pay for medically necessary procedures. Their is no mention of bariatric surgery, unfortunately so right now it's a waiting game.