I just recieved a letter from Cigna stating that they dont find it medically nessesary for me to get the sleeve. Has anyone else had this problem? If so... how did you handle this? I have spent 6 months on a diet program with a dietician, countless tests and letters. I am diabetic on medication and I have PCOS. I have a BMI of 56 and I weigh enough to qualify for surgery. How could they not see the medical nessesity of getting the surgery? Im horribly discouraged and of course I have to wait until tomorrow to call my doctor. Any help or advice you could give me would be great. Thanks!