star21nd

I just got the call that I have finally been approved for my surgery... June 18th seems so far away now!

JacobsMommy, did you ever hear anything?? I just got the call from my surgeons office that I have been APPROVED and I have a surgery date of June 18th so I guess those fools at cigna lied to me about it being denied again after peer to peer. If you get denied I would ask for a peer to peer! Best of luck to all still fighting and waiting for their surgeries to get approved..continued prayers!

I was denied back in January after my first 3 months of diet classes because they didn't want to use those classes, they wanted it to be more medical supervised so Ive spent the last 3 months in a specialized diet class that is just for people doing the diet for wls. The only reason i have kept being denied was because they said i didn't have this paperwork or that paperwork, which has been faxed to them so many times.. Im praying it's something so stupid and little that is easily fixed but i think its a stalling process because how can not you get all the paperwork when it's been faxed to you millions of time. I don't know why denied this time because they wouldn't tell me, said i have to wait for a letter from them in the mail!

They couldn't tell me why! Like always wait for a letter to tell you why! I did email my surgeons lady at the office and told her what I had done by calling them and she called me just a little bit ago and said she called them as well. She said they told her it was denied too, she just couldn't believe that it would be. She's hoping that they are looking at the first denial from back in Jan. but I told her they told me they saw it was reopened April 30th and still denied! She is hoping that because it went straight to medical director that it just not showing in the system. The medical director has until Tuesday to get a answer(that will be his 1 week) if they could a week like us "normal" people..lol. So now I wait for a freakin piece of paper in the mail and if denied we Appeal!! I will not give up but doesn't mean that its not frusterating as hell!

Why the hell did I do that to myself...I called Cigna and was informed that I was DENIED once again even after the peer to peer!! I am so frusterated and angry...sitting here crying my eyes out. Im so pissed with Cigna been at this for 6 freaking months!!

And of course my impatience got the best of me... I emailed my surgeons girl that handles the insurance part and she emailed me back fairly quickly that unforturantly she hasn't heard anything yet. She did say she would try to call Cigna and see if she could get an answer but my guess is probably not because it is Friday. Darn it!!! I should call Cigna but who do I call??

OMG my husband tells me I am the most impatient person in the whole world...I want to call too but I have no idea who to call. I have never called Cigna. Maybe ill email the girl who summited the claim. It is going to be a long weekend awaiting! I guess I should try to keep busy and keep my mind occupied...so much easier said than done. Good luck praying you have your answer first thing Monday!!

Its only day 2 since my peer to peer and Medical Director at insurance said he would give me an answer within a week. Probably take the whole week and not count weekends...grr... I have had to resubmit so many times do to them saying they didn't get this paperwork or that paperwork...I think it's just a stall on the insurance part.

Im still waiting as well...my anxiety is through the roof! Hi have you heard from insurance yet? I called surgeon yesterday and no response so I just think I will call Gain. Not sure if they fully understand our anxiety!! Just throw me a bone!! Lol

I know right, lol. I hope that you get approved the first go and that you don't have any hoops to jump through...This has been one of the most stressful experiences in my life but hopefully in the end it will all be worth it!

I have Cigna insurance and a peer to peer is when the Medical Director for the insurance company has a phone interview with the surgeon to get all fact and info to review...I guess it's a good thing because they can't come back and say missing paperwork because Dr gave them everything.

I started my journey in Oct 2013 and got all my pre-op things done, did 3 months of diet. Summited in January and was denied because they would not except the weight-ins I did for those 3 months. (didn't state diet and exercise and wasn't detailed enough for them) So I started all over again with a 3 month program with a special dr that does the nutrition for people gearing up for wls. It was resubmitted but my insurance called my surgeon and said they wanted to do a peer to peer. Than was done yesterday and the medical director said he would have his descision within a week....Im tried to stay positive but I am a nervous wreak!

Praying for all of us....hoping that Cigna and the girls in the offices get it together!

I actually started in Oct 2013 and did 3 months diet and got denied so I went to a better documented diet plan in January and just finished. Do u have Cigna? Have u had your Dr call and check on status with insurance? I have Cigna and always got a response with a week

Thank you...I pray that you get your approval soon as well. Ive been at it since January...how about you?

My doctor had the peer to peer today and the medical director asked him to summit my 3 months of weigh-ins directly to him and he will get back to us with an answer within a week!! OMG...please pray that I finally get my approval!

Ive always heard back from Cigna within a week...both all 3 times denied! I've read a lot of post that they are super picky and nobody at Cigna could ever give me clear answers when questioned. Good luck to you and I hope my peer to peer meeting with finally get my approval!

I got denied from cigna back in January because my 3 months of diet wasn't up to their standards so I went to an actual Diet doctor that works with biartric patients and insurance..finished my 3 months with them and resummitted to cigna last week. Just got a call from Dr that Cigna wants to set up a peer to peer because of denial in January. Im so scared I will be denied AGAIN!! I have completed everything Cigna requires except they weren't happy last time with the diet classes. How long after peer to peer where you approved? Did it take long time to schedule peer to peer? Ive been at this for 6 months and am so ready to start my weight loss journey!