Cigna Question - 6month diet

[Kannac 0]

Hi all! I have a question about the Cigna 6mo diet requirement. I had been seen by my PCP June 2003 - December 2008 and was prescribed diet pill - Adipex - each visit with the exception of 9mos during my last pregnancy (8/06-4/07) I stopped going to my PCP 12/08 due to the fact that he had been prescribing me excessive pain meds as well. I entered treatment for opiate addiction & started seeing an addiction specialist in a clinic at that time & then switched to his private practice around April. We have been discussing weight loss programs on most visits, however not 6 consecutive. My BMI has been well over 40 for atleast 3-4 years. I read on the website that Cigna requirements state specific regarding the 6mo diet as: "Failure of medical management including evidence of active participation within the last two years in a weight-management program that is supervised either by a physician or a registered dietician for a minimum of six months without significant gaps. The weight-management program must include monthly documentation of ALL of the following components:

1. 
   

1. 1. 
      
      
   2. weight
      
      
      
   3. current dietary program
      
      
      
   4. physical activity (e.g., exercise program) "
      

I am wondering if they hold true to that requirement - 6months consecutive within the last 2 years OR will they make me do 6months consecutive right up until surgery consult? Any advice or input would be greatly appreciated.

Thank you much!

Kara