Cigna Open Access Plan

[lilbit08 0]

I was told by a Cigna rep that all WLS surgery was excluded unless medically necessary. I currently dont have any health problems except anxiety and depression but I do have a BMI of 48. I also took my 1st step and scheduled my consult for 12/4..I am sooo excited.:smile2::cool2:

[oscarel 0]

Cigna does exclude wls by default. Make sure you call and check before starting anything, this will save you time, money and heartache. I also have Open Access and they just paid for mine. Good luck. Here's their doc in case you don't have it. http://www.cigna.com/customer_care/healthcare_professional/coverage_positions/medical/mm_0051_coveragepositioncriteria_bariatric_surgery.pdf

[mair 0]

I also have Cigna, they denied me, but I appealed and I just got approved on thursday after waiting almost 30 business days. My surgery is scheduled 12/12, finally. I have no other issues other than the BMI, its worth a shot

Good luck

[lilbit08 0]

well i called the ins co and they told me that wls was excluded but that if medically necessary it cld be approved...soooo i have a consult on 12/4 and the dr that i have chosen they say are good with getting u all u need to be approved..we will see

[kgloverii 0]

A WLS exclusion on a policy is VERY hard to override. I hope you have good luck with it. You need to call them and find out how it would be considered 'medically necessary.' If it is a blanket exclusion, then it will be almost impossible to get it covered. GL.

[Sooverit! 1]

I was turned down 3x by CIGNA because I had a BMI of 37 without the comobidities they accept. As of last week I have developed Hypertension and I am taking meds for it. My surgery is scheduled for next Tuesday. Just wondering if they would re consider now? I already paid out of pocket in full....what timing . Well I will call them first thing and let everyone know. they are tough bstarts

[Sooverit! 1]

Also I just went on their site and I don't even see anything about the 6 month supervised diet nonsense. Wondering if they still need that?