I had CIGNA but Mid Atlantic/Northeast Region and had NO WORRIES OR ISSUES with me or my daughter and actually had an answer within 3 days to 5 days...
Babygirl got her surgery March 3rd... She's from 339 to 200 as of 6/14/2012.. SOO proud of my bigbabygirl
I have Cigna Great West - I was approved within a week of submitting for approval.
As long as you have the 6 months diet / excersize from a Dr you should be golden