Guest tinarenea Posted September 27, 2005 Hello, I am new to the board and wanting to get the lap band done. I am going to my PCP in two weeks to advise him of what I am considering. Everything I read I am boarder line on getting approved. Working in insurance I know what the main critia for the gastic surgery is but wanted other opinion since I don't have my own insurance with my company (harrington) I have Cigna insurance through my husband coverage and they state the cover the procedure. I turned 31 in July and have been overwieght for almost 8 yrs. Since the birth of my first child. After losing very little weight and a sudden weight gain of 40 lbs my doctor did many test. I was sent to a RE and found out I have PCOS (polycystic ovaries) I have trying many things and nothing has worked. I started out 8 yrs ago at 110 lbs and gained 80 lbs with my pregnancy. I am 5'4 with shoes on and weigh 210 lbs. My BMI is 37.1 so for my medical conditions I have PCOS, high blood pressure, and border line diabetic. I take glucophage for my pcos which helps control my blood suger from getting worse at this stage anyway. Any info you have that I can give or advise my doctor to help get Cigan to pay would be appriciated. I see to many denied in my company and just worried I won't get approved. TIA Tina Share this post Link to post Share on other sites
fee 0 Posted September 27, 2005 Hey tina welcome to LBT i hope you get approved and all goes well Share this post Link to post Share on other sites
sleepyjean 0 Posted September 27, 2005 Woo....freaky. Are we the same person? I just joined the group too. I also recently turned 31, my BMI is 37, I am concerned about having borderline eligibility, and am waiting to meet with my PCP to talk about it. I don't have PCOS or any children, but close enough, right? Maybe we'll get through this at the same time. My current issue is that I can't get in to see my PCP until December. It's only been a week since I made the appointment, and I'm already about to tear my hair out from impatience. Lucky you gets to go soon. Let us know how it goes. Share this post Link to post Share on other sites
Jessiebear 2 Posted September 27, 2005 Welcome Tina! I hope everything works out for you! Sorry I can't help you with your insurance questions. My insurance wouldn't cover it so I was self pay. Good Luck to you! There are quite a few women here that have PCOS (me included). Keep us posted! Share this post Link to post Share on other sites
sandie1958 0 Posted September 27, 2005 tina, i had cigna when i checked into getting the band. my policy required a 6 month supervised diet plan with my dr. which i didnt have . my insurance changed to united health care 2 months later & they didnt require that . i am 5;4 weighed 207 my bmi was 35.2 i have sleep apena . gerd & high blood pressure so the insurance gave the ok. if you have heartburn please tell your dr of that . good luck the band is the best thing i have ever done for myself. sandie Share this post Link to post Share on other sites
2Bslim 0 Posted September 27, 2005 Hi, I'm just getting started on this journey too, I have a letter of medical necessity from my PCP and I have a consult with a surgeon on Oct. 4. I am so excited about my decision to do this, also a little scared. I am so tired of being out of breath when I climb a flight of stairs, or bend over to tie my shoes. Edna Share this post Link to post Share on other sites
