My Journey

Jan 26, 2009

I've been working toward have RNY since April of 2008.   It has been a long frustrating road.   I called Cigna and spoke to a rep who told me Cigna did not require a six month doctor directed diet...wronnng.   After a few months (end of July) Duke called and asked if I had the documentation of a six month doctor directed diet.   Luckly I had been going to my pcp discussing my success on the Atkins diet beginning in June. 

I had all of the tests Duke requested and finally finished my doctor directed diet in November.  I was given an appointment with the Dr. Torquati at Duke for January 15th.   I went to the meeting and then they sent the information package to Cigna.   I was denied by the 19th as I didn't have a 24 month history of a BMI over 40 and a co-morbidty was not mentioned.   My pcp was great and composed a letter and it was faxed to Duke on January 23rd with the needed information.   Duke called and said a peer to peer meeting with Dr. Torquati and Cigna to clarify my situation.  Hopefully, I'll be cleared for surgery.  As of today, there is no date for the peer to peer meeting.

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