Hi There!
I have my last appointment with my primary care physician next Tuesday. I am probably looking at a September surgery because of work schedule. I also have Cigna, and I am hoping they approve me. I have a BMI of 36, but several comorbidity factors including a degenerating hip, so getting this weight off once and for all is important to me. Cigna requires 3 months of appointments plus a "final appointment," which ends up being 4 appointments total- almost 4 months. My appointments were March, April, May and June. My husband is also working towards an approval. He started in May, and he's almost guaranteed an approval because he has a BMI of 44.
Good luck! I have found the process pretty easy really. Just time consuming.