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noftessa0401
on 2/1/13 1:19 am - San Diego, CA

RNY on 12/27/12

Apparently their denial is typical on first-time requests like these. Here is a link to an attorney (advocacy group?) that did a 2nd level appeal to Cigna and the revision was approved. This was a while ago, but I imagine that the principles are the same.

http://wlsappeals.com/bariatric-insurance-denial-revision-ap peal/

HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"

M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)

Collette65
on 1/31/13 12:29 pm - Fairview, TX

VSG on 03/11/13

Topic: RE: Waiting for approval is so stressful!! UHC

I have BCBS and so I'm not sure. Insurance is scary, your life in someone else's hands! It's a love hate.

Collette

Andrea H.
on 1/31/13 4:30 am - Middletown, NJ

VSG on 04/08/13

Topic: RE: X-post Appeal

They said there is nothing mechanically wrong with my band. Which there isn't. It's everything else thats seems to be wrong.

HW 300, SW (Realize Band) 268, Revision to VSG 264

mzlaura
on 1/29/13 12:05 pm - Litchfield, NH

RNY on 03/05/13

Topic: Waiting for approval is so stressful!! UHC

My surgeon submitted for approval on Jan 24th. I called my case manager on Monday and my case hasn't even been reviewed yet. She told me to try again next Monday i am so stressed and my anxiety is high waiting for the approval. I don't see why i wouldn't get approved though,, bmi has been over 50 for well over 7 years.. sleep apnea, pre-diabetes, did 6 months of monitored weight loss with nutritionist, etc

I have UHC my case manager said it could take 10-15 business days my surgery isn't until March 5th anyway and this is why my surgeons office schedules this far out for these reasons. How long for anyone who filed recently through UHC did it take to get approved??

HW: 401 SW: 297 CW: 200.8
RNY gastric bypass surgery on March 5th, 2013

noftessa0401
on 1/29/13 1:03 am - San Diego, CA

RNY on 12/27/12

Topic: RE: X-post Appeal

I don't have much experience with Cigna, but what was the reason for the denial?

HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"

Andrea H.
on 1/28/13 9:21 am - Middletown, NJ

VSG on 04/08/13

Topic: X-post Appeal

Has anyone ever appealed to Cigna and won? I have a Realize Band and had to have an emergency unfill in December. Since then I have had a lot of acid and heartburn. My doctor sent me over for an upper GI and my band is in perfect position. I haven't lost ANY weight since April of 2011. The last few months have been fill to be unfilled the following month. This is frustration, I am hoping to revise to the sleeve.

I would appreciate any help offered.

Thanks

Andrea

HW 300, SW (Realize Band) 268, Revision to VSG 264

oklahomafarmgal
on 1/27/13 9:24 pm

Topic: RE: How long does it take to hear back from United Healthcare?

I haven't submitted yet, but when I spoke with UHC, they said they usually respond in about 5 days. Good luck. Let me know how they did.

phatygurl10
on 1/27/13 2:07 pm - CA

RNY on 06/17/13

Topic: RE: Anyone have PCIP, how long for approval?

I am in the beginning stages are applying to PCIP insurance because I know they cover wls. I was wondering if everything went ok and if you were able to get your surgery.....any updates or tips?