Recent Posts

M. DeVenney
on 9/3/10 8:52 pm - Phoenxiville, PA
Topic: RE: NAN2008!!! YOUR LETTER GOT ME APPROVED!! BY CIGNA!
Hello and congragualtions. I was just denied by my insurance company for a RNY yesterday and was on this site looking for some advice and saw your post. Is the Nan, My Appeal Letter posted on here and if so could you tell me where I can find the sample?? I am trying to not let this denial get me depressed and I could really use some help. I wish you the best of luck on your WLS journey.  Thanks! Molly
BethR311
on 9/3/10 12:10 pm - Fort Wayne, IN
Topic: RE: Aetna Questions
I was diagnosed w/type II diabetes on Aug 24 ... does diabetic ed count as dietary counseling towards the Aetna presurgery requirement? 

thanks!
fordrachel
on 9/3/10 6:53 am - memphis, TN
Topic: RE: NAN2008!!! YOUR LETTER GOT ME APPROVED!! BY CIGNA!
 NAN... thank you from the bottom of my heart!!!!  Your letter should be TRADEMARKED!!!!  

              
Hello... My name is Rachel, I am 5 feet tall.... sign in BMI 40.4...  pleased to meet you!!!
Starting BMI between 35 and 40ish? 
Join us on the Lightweights Board!
fordrachel
on 9/3/10 6:52 am - memphis, TN
Topic: NAN2008!!! YOUR LETTER GOT ME APPROVED!! BY CIGNA!
 OMG!!!!! I am sooooooooooo excited... after being DENIED on August 16th, 2010, my Primary Care Physician signed off on a letter that I got from an Obesity help member named NAN.  My APPEAL was sent in on Monday August 30th, and my surgeon called me today and said "THAT MUST HAVE BEEN ONE HELLUVA LETTER, BECAUSE CIGNA HAS APPROVED YOU FOR WHATEVER WLS OF YOUR CHOICE!!!   I go in on Sept. 14, 2010 for blood work, to see which surgery will be best for me, I am looking into Lap-band, or the  VSG. Thank you all, for your concerns, and helping me get through this thing with fighting with the Insurance Company!!!! I will update you all on a tentative surgery date soon!!!!   GOD IS WALKING RIGHT BESIDE ME ON THIS JOURNEY, IF I MAY FALL, HE WILL BE RIGHT THERE TO LIFT ME.   

              
Hello... My name is Rachel, I am 5 feet tall.... sign in BMI 40.4...  pleased to meet you!!!
Starting BMI between 35 and 40ish? 
Join us on the Lightweights Board!
fordrachel
on 9/3/10 6:50 am - memphis, TN
Topic: RE: Letter of Medical Necessity - samples needed!
 THANKS TO NAN... I HAVE BEEN APPROVED!!!!!!!!!!!!!  THANK YOU NAN!!!!    

              
Hello... My name is Rachel, I am 5 feet tall.... sign in BMI 40.4...  pleased to meet you!!!
Starting BMI between 35 and 40ish? 
Join us on the Lightweights Board!
charlotte180
on 9/1/10 6:21 am - Phoenix, AZ
Topic: RE: My ins co won't disclose pre-reqs to me
 @mistyshadows:  you know, the thing that really frustrates me is that one surgeon's office told me that my insurance company requires a BMI>40 for a minimum of 5 years. The other surgeon's office told me that they don't. 

They really don't make this easy, do they?
mistyshadows
on 8/31/10 11:02 am
Topic: RE: My ins co won't disclose pre-reqs to me
 I am having the same problem.  I called the insurance company to make sure of the pre op requirements.  The docs office told me I didn't have to do a supervised diet and that just doesn't sound right, so I wanted to confirm it with the insurance company.  I was told the same thing you were.  They only tell the doctor.  I can't talk to the people that have the requirement info.  

I wonder what the big secret is?
kikirn
on 8/30/10 8:05 am
Topic: RE: looking for cigna approval
 Cigna told me I had to do a 3 month diet plan, whi*****ludes seeing my PCP, a nutritionist, and join an exercise program.  I guess my official "start date" would be Aug. 5, that's when I saw my doctor, and joined a gym.  I'm hoping after I complete this they will approve.  The surgeon's office seems to think everything will go through, I hope they are right.

Good luck on your journey, keep me updated.  
tracyprim
on 8/26/10 12:34 pm - Depew, OK
Topic: looking for cigna approval
i a am looking to talk to someone who has been approved with cigna insurance and to know about the process i am currently on my 6 month diet plan.
Malg22
on 8/24/10 8:57 pm - Tiffin, OH
VSG on 12/18/13
Topic: RE: Problems with Aetna in Ohio?
Hi Nan-I appreciate your post. I am still waiting. Called the lady that works in insurance for the surgeon yesterday and she said it's still in appeals. Once Aetna denied it-I got a letter weeks later saying that it has went to my husband's company who the insurance goes thru. So, that was the first week of August.

I am told that the medical reviewer I got for my aproval/denial denies practically everything. So, when they seen that is who was reviewing my case they kinda knew it was already a denial. So, I did write a 2 page letter and sent it to the address I was given to who is looking over my case now. So frustrating-I started this process in March. I have everything documented 110% and did the steps to a T.

I am hoping it pays off with a approval. And soon! This is taking up alot of brain space right now for me!

Thanks for your reply,
Angie
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