CMWSleeved

LCOLL,
please don't get discouraged. I hit a stall at 3 weeks myself. I lost 28 lbs and the scale stopped moving. I am 9 weeks post op and what i did was started exercising more with walking and fitness dvds, increased my Water and Protein intake. I was also constipated and got some over the counter milk of magnesia and that helped me. The next thing I knew my scale started moving again. During my stall i was still losing inches. You may want to get a body tape measure and start documenting your inches in your legs,arms, neck, hips, stomach areas because this will assure you that you are still losing from week to week even when the scale does not seem to be moving. Please stay encouraged during this process. You will get past it.

Hi everyone. I too am a patient of Dr. Averbach. Hopefully i will be sleeved sometime in November or early December. Would love for you guys to tell me about your experiences thus far. TerpGirl2 i have alot of questions for you since you are at the end of your pre-op journey with Dr. Averbach.

Hey Martha,
try not to worry. The psych eval is just to make sure that you do not suffer from schizophrenia. What insurance do you have? When in doubt contact them and ask about what they are looking for within the psych evaluation. Try to speak with someone in the actual authorization dept. They would be able to give you more in depth information on the qualifications.

Hey everyone! I am 1 year and 5 days post op! I am sitting here wearing a size 4 Calvin Klein jeans!! Hope everyones doing well and kicking obesity's ass!

You look great. Keep it up

The Letter of Medical Necessity from PCP(Per Cigna must be on letterhead. Must say recommending surgery & is medically cleared for surgery or must state No Contraindications)

The Letter of Medical Necessity from PCP(Per Cigna must be on letterhead. Must say recommending surgery & is medically cleared for surgery or must state No Contraindications)

Good morning to everyone,
I have Cigna and work for Cigna as well. You will need the following.
https://cignaforhcp.cigna.com/public/content/pdf/coveragePolicies/medical/mm_0051_coveragepositioncriteria_bariatric_surgery.pdf

Also ladies. The 3 consectutive months does not include your initial evaluation/consultation. So this means you should be submitting 4 months of documentation all together.

I also work for Cigna however, i am located in Maryland. If i have the procedure done by the end of the year i will not have to pay a penny since i have met both my deductible and Maxium Out of Pocket for the year. I was wondering though why would you have to pay so much for your procedure. Is is because you have not met the deductible yet? I know once you met the deductible than the insurance kicks in and covers 80% of your medical costs.
Hope i am not asking too much personal information. I was thinking that since we work for Cigna our coverage rules should/would be the same.

I'm so happy!! I just called Aetna to check on my case that was sent in on the 15th and they said I'm approved!!! I've been so nervous I would be denied for some stupid reason. So excited!!! Should have an August surgery date!!!