6 month requirement

[june81 6]

Hello. After going through all of the many requirements by cigna, I was denied. My case worker and I were told that per my plan - I needed only 3 months supervised, but it turns out my employer has a 6 month stipulation. Needless to say I was very upset about the misinformation! My question is... does the 6 month requirement mean 180 days total? I've read that insurance companies are very strict and the days must add up.

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[KarenOR 180]

Hello. After going through all of the many requirements by cigna, I was denied. My case worker and I were told that per my plan - I needed only 3 months supervised, but it turns out my employer has a 6 month stipulation. Needless to say I was very upset about the misinformation! My question is... does the 6 month requirement mean 180 days total? I've read that insurance companies are very strict and the days must add up.
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Everyone that I know , including myself, had to do 6 months per insurance. I'm not sure about exactly 180 days, mine was longer after all the other appointments anyway.

[sassy683 184]

I have Cigna too they only required 89 days of supervised but do to that fact I had ct husky a secondary they required 6 months so I did 6 months and found out that husky dropped me 2 months prior to my last nut visit.. Cigna approved me still

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[angyplus5 470]

I'm on the 4th of my 6 months diet and I have to go every month for a weigh in

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[june81 6]

Thanks guys. I'll get the rest of the appointments in, and hopefully I get approved before the year ends. I'd hate to be subject to new requirements in 2018.

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[njgal 535]

Make sure they’re back to back and fairly close in actual date. So my bariatric office knew exactly how to schedule them. For example they’d give me an appt for the 4th one month and say the 10th would be too late the next month so schedule it for the 6th. Does that make sense?

[BlueCrush 408]

My office has schedules them as one per month for 6 months, but it will end up being less than 180 days. They said that was OK.

June 13

July 6

Aug 10

Sep 7

Oct 5

Nov 14

From Jun 13 - Nov 14 is actually only 165 days, but they said it's OK since I have a weight documented on 6 separate calendar months.

[june81 6]

I hope that's true for me! I started 5/15.

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[june81 6]

Make sure they’re back to back and fairly close in actual date. So my bariatric office knew exactly how to schedule them. For example they’d give me an appt for the 4th one month and say the 10th would be too late the next month so schedule it for the 6th. Does that make sense?



Got it. Thanks!



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[Editor57 11]

I have Cigna insurance and it is my understanding that this is a six-month process. So far, no issues with Cigna. But I will say that there seems to be conflicting information among my doctors and I have been very aggressive about talking to the insurance company all through the process. And it's often not based on days as much as visits ... like four visits with a nutritionist, each a month apart. I've been running to doctors and having tests since June and am still not approved. In the middle, it was determined I needed surgery to remove my gallbladder and repair a hiatal hernia. Had the surgery and continued to have all of the tests around that, but now am awaiting a CPAP machine, which is proving to be a slow and incredibly maddening experience. Had to swear to use it EVERY NIGHT for 30 days in a row to get my surgery tentatively scheduled for Dec. 12. Since I still don't have the machine, the distributor is being less than truthful and no one seems capable of helping me, I think that tentative date is now very much in peril. We'll see. If the surgery gets dumped into 2018, my high deductible kicks in all over again, and as we all know, this isn't cheap . I've been an incredibly compliant, aggressive patient through all of this. Have completed dozens of appointments, tests, etc. Believe strongly that this surgery is my best option to finally deal with my weight issues and appreciate my surgeon's meticulous process. But the setbacks with the timing have been so crushing that I've twice considered pulling the plug on the entire idea. They don't make it easy. I keep hearing the time after the surgery is tough in terms of the eating, etc. I'm sure that's true. But for my money, the process getting to the surgery is, well, unspeakable. It has worn me down, which is not a great place to be going into the actual surgery ... and I'm normally a tough, resilient person. This has been my personal Waterloo.