Question:
CHANGEING INS.
MY HUSBAND RECENTLY LEFT ONE JOB FOR ANOTHER, HIS OTHER JOB CARRIED BL.CROSS, WHEN I STARTED THIS PROCESS THAT'S THE INS. WE HAD, NOW THAT I'VE BEEN DOING THIS FOR 6PLUS MONTHS DO I HAVE TO START ALL OVER FROM THE BEGINNING NOW THAT WE HAVE NEW INS. (CIGNA)? — SUZANNE C. (posted on January 10, 2004)
January 9, 2004
I would think you would have to. But all the paperwork you have already is
a plus. However, Cigna is not paying for WLS in SOME states. You need to
talk to someone at Cigna or your surgeons office and find out if your state
will still pay. I know Cigna in GA does still pay. Good luck to you.
~Sidney~ OPen RNY 10-23-02 down 130+ and under goal
— Siddy I.
January 10, 2004
If you already know BX will pay, you may want to take it out on cobra till
you have surgery, or at least until you know if Cigna will cover it. To
answer your question, yes you will need to start the process over again,
but you do have alot of things on your side. You have already done most of
it...it's just a matter of submitting it someplace different.
— RebeccaP
January 10, 2004
I have Cigma HMO Georgia. They do require with regards to supervised weight
loss attempts. Per Ashley in the Precert department, they require
documentation that you have participated in 2 professionally supervised
diets with monthly weigh-ins, each lasting at least 26 weeks, with at least
one occurring in the past 12 months. We can discuss this in more detail on
Monday, but I wanted to pass the word along.
Diane
— Diane G.
January 10, 2004
I have Cigna HMO of Georgia .
I just wanted to make you aware of what they do require with regards to
supervised weight loss attempts. Per Ashley in the Precert department,
they require documentation that you have participated in 2 professionally
supervised diets with monthly weigh-ins, each lasting at least 26 weeks,
with at least one occurring in the past 12 months. We can discuss this in
more detail on Monday, but I wanted to pass the word along.
Diane
— Diane G.
January 10, 2004
Beware! Cigna can be quite difficult to work with and unfortunately, as in
my case will no longer cover wls. They are getting tougher all the time and
when they do cover they will not budge on the supervised diet. Good luck.
— bubbleboo K.
January 11, 2004
i know this would be expenseive but go on cobra with the old insurance have
the surgery than change you already have everything done the reason is i
got laid off just before my surgery so i went on the cobra plan and the
surgery got paid because cobra is your same insurance you just have to pay
the full amount but to me it was worth it. ggod luck rosemary
— ROSEMARY A.
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