The wait is brutal! Appeal for cigna

Ashoryb · March 14, 2016

Ok so I got denied my first time submitting to insurance because although I have a bmi of 53 ans I did all the nut visits psych cardiac and sono the said I needed pulmonary clearance blood work and info on my band procedure and removal..

Got all that and resubmitted with everything they asked in march 1st 2016 and still no word. Grr I keep reading about how people got approved in days or even hours and I'm just in lala land. I've called 3 times and it's in Peer review so I don't know what all that consists of. Just so frustrated. Sorry just needed to vent.

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qtonduty30 · March 15, 2016

Ok so I got denied my first time submitting to insurance because although I have a bmi of 53 ans I did all the nut visits psych cardiac and sono the said I needed pulmonary clearance blood work and info on my band procedure and removal..

Got all that and resubmitted with everything they asked in march 1st 2016 and still no word. Grr I keep reading about how people got approved in days or even hours and I'm just in lala land. I've called 3 times and it's in Peer review so I don't know what all that consists of. Just so frustrated. Sorry just needed to vent.

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Hey, I am still in my pre-op phase BUT I have been asking questions considering my last medical clearance is April 8th...I asked if worse case senerio I got denied what happens...they sd it goes into "peer review"...which means my bariatric doctor speaks to the doctor from the insurance company and try to convince them that it's necessary...so that they approve it at that point...I do have BCBS and that is what they told me it means...hope that helps...if not call them to find out exactly what it means...Good luck!!

qtonduty30

Ok so I got denied my first time submitting to insurance because although I have a bmi of 53 ans I did all the nut visits psych cardiac and sono the said I needed pulmonary clearance blood work and info on my band procedure and removal..

Got all that and resubmitted with everything they asked in march 1st 2016 and still no word. Grr I keep reading about how people got approved in days or even hours and I'm just in lala land. I've called 3 times and it's in Peer review so I don't know what all that consists of. Just so frustrated. Sorry just needed to vent.

Sent from my SAMSUNG-SM-N900A using the BariatricPal App

Hey, I am still in my pre-op phase BUT I have been asking questions considering my last medical clearance is April 8th...I asked if worse case senerio I got denied what happens...they sd it goes into "peer review"...which means my bariatric doctor speaks to the doctor from the insurance company and try to convince them that it's necessary...so that they approve it at that point...I do have BCBS and that is what they told me it means...hope that helps...if not call them to find out exactly what it means...Good luck!!

qtonduty30

Kellanrevere · March 15, 2016

Insurances are all different. My first submission to Cigna was denied based on a stupid misunderstanding of 3 months vs 89+ days. Cigna says it has 15 business days to make a decision. I received my approval on the 15th day. You haven't hit your 15 days yet , so I wouldn't worry.

Best of Luck to you.

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Ashoryb · March 15, 2016

Insurances are all different. My first submission to Cigna was denied based on a stupid misunderstanding of 3 months vs 89+ days. Cigna says it has 15 business days to make a decision. I received my approval on the 15th day. You haven't hit your 15 days yet , so I wouldn't worry.

Best of Luck to you.

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Oh ugh! Buisness days. I was counting every day that's makes me feel a bit better. I'm just excited and I'm ready for this change. Thanks yall for responding

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