Cigna Insurance questions

Monetslily
on 6/13/16 4:22 pm
RNY on 07/11/16

I started my WLS journey in March. I haven't posted anything, but I have been reading a lot of helpful forums. I'm  getting closer to my surgery date (July 25th) if all goes well with the insurance. 

 

I wanted to find out from those who have had WLS if you have Cigna insurance. I have to have AT LEAST 89 days of monthly documented visits to my doctor, show an exercise and diet plan, psycho. eval., visit with a dietitian, a Recommendation letter from another doctor, other then the Surgeon.

Was there any other "hoops" you had to jump through to get the surgery approved? Now that I'm getting closer to date I will be submitting my paperwork, I'm getting nervous that I'll miss something or I have to prolong the surgery.

 

Thanks for all your help,

 

sheriberi29
on 6/13/16 4:42 pm - Cleveland, TN

Every plan is so different . Your insurance company has to be up front with you about exactly what is needed before you submit, I would call the number on the back of your card and ask them , if they can not tell you, ask to speak to their bariatric case manager. Most dr offices have an insurance person that is in charge of communicating with each plan and already know what you will need to submit . Good luck ! Just remember that often times, insurance will deny you for some little reason or other, be prepared for a no, find out what their reason is and make an appeal. Don't just give up the first time. 

But hopefully you'll be approved. 

Banded 6/9/09 HW 242 LW 142 Revision 198 m 1 loss 16 lbs 182. M 2 loss 4 lbs 178. M3 loss 6 lbs 174.m4 loss 4 lbs 168. M5 gain 2 lbs 170. M6 loss 7 lbs 163 M7 loss 5 lbs 159 M8 loss 1 lb 158 M9 loss 0 M10 155 loss 3 M11 154 loss 1 M12 loss 2 152 M13 loss 3 149 M16, 17 0 loss M 18 loss 4 lbs 145 (18 months 53 lbs)

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