Joanna240 0 Posted January 31, 2008 although I had a long-documented history with my doctor, I still had to do the 6-consecutive months with my doctor. I didn't even try to lose weight though during those 6 months, I figured it was just a "going through the motions" process. I inject insulin and it's extremely difficult to lose weight while on insulin. Doctors notes will be very important when applying. It's best if your surgeon has a weight-loss-dept at the hospital, they guide you and then send in the info to Cigna when they are satisfied all i's are dotted and all t's crossed. Share this post Link to post Share on other sites