lorimac

I am beginning to question the people who work for my surgeon. The girl at the office told me the wrong reason for my denial. She saw BMI over 50, but that was for the DS! I can't believe she got it mixed up! I got a copy of the denial letter, and it says "The above request has been denied by the Medical Director. Reason: CATEGORY OF TREATMENT: Inpatient". Does this mean because I have to spend the night they are denying?

I got a call from the surgeon's office today. The girl said they denied me bacause my BMI is not 50 or over. Cigna's website says the BMI has to be 40 or over. I didn't get any help from the office person. She tried to talk me into the gastric bypass, which they WILL cover, by the way. She didn't offer to call them or re-file. I asked about a peer-to-peer review, and she said the he wouldn't do it because my BMI isn't high enough. What do I do? Gain weight? Call them? See another surgeon who will fight harder for me? I am at a loss. I know Cigna is tough, but I did everything I was supposed to do and I meet the guidelines on their website. Anyone have any suggestions? Thanks for the help. I am frustrated right now.

Hi! I am from the Corpus Christi area.