mrsmith901

Called insurance again and they have still not received my claim. Called the program and there are no notes saying the claim had been sent. The insurance person Kelly, has not returned my phone call of last week and Doreen who is the admin for the program said she would talk to Kelly and see what the hold up is. This is so frustrating. It is almost 3 weeks since my last NUT visit and the program has not even submitted my paperwork. I am about to become that squeaky wheel!

This is kind of weird but lady at my surgeon's office submitting my paperwork's name is Kelly and the admin is also Doreen lol! I am in the exact same boat you are. They STILL have not submitted my paperwork!

I'm in Memphis and my surgeon's fee is only $6000 for the sleeve. Hopefully it's not much more at your surgeon's office!

I was told Cigna did not have a weight stipulation. My surgeon's office just required I not go over my start weight.

Congrats!! I am still waiting for my surgeon's office to submit my paperwork. Hopefully I can join you in February!

I feel your pain!! I completed everything Monday and I am still waiting to hear back from the surgeon's office about when it will be submitted. I want an answer now. Patience is not my strong point

awesome, I have a date, and Jane had it all along just didn't know it, was approved in September, Dr said you're approved as of Jan 15th..so I thought this was just an approval date not the surgery date, anyway, super excited, have last appointment and pre op registration on the 5th, I was supposed to start 2 week liquid diet on Jan 1st but I started early surprisingly today hasn't been hard. So glad to hear you're finished up..almost! Gosh you could be done in January probably right?

That would be amazing but I am thinking it may be February before I have it done. Congrats to you though!! You are so close! I am not looking forward to the liquid diet lol

How's it going?

Good! I had my final weigh in today & now I'm just waiting for everything to be submitted to insurance. How are you?

Your 3 month has to be physician supervised. I am doing weight watchers but I weigh in with my Doctor once a month for the "supervision" part. I hope to submit to Cigna at the start of the year!

Sorry blonde moment...I am in Nashville TN.

You are semi close to me! I am in Memphis.

I hope to have mine done in February! I had my psych appointment Friday, this Thursday is my Nutritionist appointment, and then my last weigh in is December 29th for the 3 month diet. I am getting nervous! I just hope everything clears ok with insurance.

I will hopefully be in February! I complete my last weigh in on December 29th.

I am a Memphis sleever to be. Hope to have surgery in Feb with Dr Woodman

I just had my first appointment yesterday and hope to have a February surgery date as well!

That sounds fishy that your Dr is making you use his products. My Dr requires a $500 program fee that covers a lifetime of visits & support groups, but you can use whatever products you want.

Just wondering if anyone has been approved with less than 89 days of weigh-ins? Both my wife and I are going through this process right now and he surgery ($$) is being taken care of so we're hoping that we can both get approved in time to have surgery in December, as her surgery would put us at the out of pocket maximum for the year and then my surgery would be free. Our initial consultation was on 9/29 and they did a weigh-in as well. The surgeon has told us that we would only need to more weigh-in appointments to fulfill the inssurance requirements even when i question him about 89 days. Yesterday at the pre-op class though the nurse said it had to be 89 days and that we would probably need another weight in in december before submitting to the insurance. Which would mean that the surgery would not happen until 2015, and then it means having to hit the deductible all over again before we can even consider the possibility of financing my surgery...

So just wondering others experiences with this....

My surgeon's office & the people I have spoken with to at Aetna were pretty firm on it had to be over a span of 89+ days. I have to see my PCP and weigh in a total of 4 times. I just had my first weigh in on Sept 26 so I plan on going for my last one December 27th.

That's not needed but double check the link I posted to the medical policy to be absolutely sure

Thank you! I have pretty much memorized the policy over the past couple of weeks. I was just taken aback when the surgeon's office said they needed it.

Did you guys have to show two year weight history of BMI 40+? The Cigna bulletin does not state it is needed but my surgeon's office mentioned having it. I dipped below 40 in 2012 but have records from 2011 when it was 41. I called and asked Cigna and the rep told me it was not needed. Just making sure I have all of my ducks in a row. I should have a clearance letter from my surgeon, PCP, and I can get an additional 2 from my OB & Rhem. I am so nervous about getting approved!