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sara_bear

Gastric Sleeve Patients
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Posts posted by sara_bear


  1. I’m in the middle of my insurance requirements for surgery and things are going well. However, I am extremely worried about being able to stay hydrated in my work environment when I go back after a couple weeks. I work in a lab, so everywhere is considered “dirty” and any kind of food/snacks/water etc is strictly forbidden.

    How often do you need to take a sip of Water to stay adequately hydrated? I can go to the break room, but I’m just worried about getting in trouble for leaving so often.

    Anyone have any advice?

    Thanks in advance!



  2. I just don't see where it even says if you do gain weight during your 4 months nutritional appointments that they deny you I know that Blue Cross Blue Shield will but I don't see anywhere where Cigna says that they do that it's not that I plan on gaining weight that's the last thing I want to do it just does make me nervous because like you said Water weight stress I just get so worried about stuff like that does anybody know if Cigna does actually deny you for weight gain?

    Sent from my SM-N950U using BariatricPal mobile app


    I haven’t seen anything that suggests they deny you if you gain weight, other than I think one other comment in some other thread. I’m just trying to err on the side of caution because I’m sure as an insurance company I wouldn’t put it past them to try to deny. I’ve read a lot of stories of denials turning into approvals though.



  3. I’m in Texas also with the same insurance. I just started my nutrition visits a couple weeks ago, have already had my psych evaluation (no clue if I “passed”), and x rays and an ultrasound. I see the surgeon on February 5th so hopefully he knows.

    I’m nervous about being denied as well, but the above comments are comforting! Thank you for the advice. My coordinator told me that Cigna usually responds in less than 2 business days once they submit.

    I’m glad that you say Cigna goes off your starting weight. I’m always worried that my scale at home is different than the office, or clothes or Water retention etc will make it seem like I gained! Currently in the process of finding some Protein Drinks I can stand in preparation for the pre-op diet in a few months.



  4. Hi everyone,

    I had my first nutritionist visit on Sunday, and part of my “homework” for next month was to get used to drinking Protein Drinks a few times a week and find flavours/kinda I like, so that when the pre-op diet comes along I might be able to handle it a bit easier.

    So yesterday I had my first drink. It was a powder one I mixed up. It contains sucralose (splenda) and within an hour of drinking it I had a massive headache, nausea for the rest of the night, and was extremely irritable. I know from the past that aspartame gives me awful headache’s, so I’m beginning to think that I just cannot tolerate artificial sweeteners.

    Am I the only one? Does anyone know of any brands that are artificial sweetener free? Do you think Monk Fruit or stevia would sit better? I’m really worried that this is going to be a huge hurdle, since basically their entire lists of allowed things are “sugar free ____”.


  5. I had my “psych evaluation” today, if you could call it that. Originally the person who scheduled me said to plan for a couple hours. I filled out some questions before I went in, asking about how I feel and eating habits etc. I spent maybe 10 minutes with the psychologist and she just browsed through some answers and asked me a few things. The rest of the time we “chatted” about stuff like health care etc. Then she was telling me good luck and to have a good weekend. I was expecting a LOT more than that. I know they will go over my answers to the questions and write some kind of report, so I’m hoping they will give it the go ahead.. just feeling like I have no clue what just happened lol!!



  6. You’re welcome hon. I had my psych evaluation early on too, I think within the first two weeks of my journey. There will be numerous appointments, but it’s all worth it IMO. Be blessed!

    Thanks so much! It’s great to know other people had similar experiences.

    I had abdominal ultrasound and chest x-ray today, psych evaluation is tomorrow, my first nutritionist appointment is on Sunday, and then I see the surgeon on Monday!! Sure seems like a whirlwind, but it will be nice to pretty much only focus on the 3 month nutrition and exercise requirement and get all this other stuff out of the way.



  7. I have cigna and did 6 month program because that was what my surgeons group does. So I had basically double what cigna needed me to do. I did upper GI , 6 nutrition classes, psych eval and my surgeon required me to lose 5% of body weight during my 6 month but they submit starting weight when submitting to insurance.
    Cigna denied me 2 times and went to peer to peer. My surgeons coordinator could not get a straight answer from them and they finally gave a bogus reason... I needed a 3 month exercise log. So I went on computer and made one up for the dates they asked for. Then I was approved. It was a stressful month of back and forth with cigna.
    Im so glad to be on the otherside. I went to my first info seminar in Jan 2017 and got my surgery Dec 4th 2017. Last year was a long tough year. This year is going to be amazing.

    So glad you got it all straightened out!! I can’t believe how much crap they throw at you, even after submitting to all their demands! Thanks for the info!

    Good for you for roughing it out and making this change for your health and happiness. Wishing you a speedy recovery and a great year ahead with the new you!



  8. We finally have insurance that will cover surgery. We had Cigna, Aetna (both said no) and now finally BCBS will cover!! So frustrating




    That sounds awful! So glad you found a company that will cover. You’d think by now they would realize how much money they save by reducing obesity and not make things so difficult.



  9. I have Cigna open access as well. It was pretty easy actually. The insurance will go by the first initial weight that the doctor reports. So even if you do gain (which I hope you don’t) you’ll still be able to get your surgery as long as the other prerequisites have been met. I started at 266 and by surgery I was 259, not much loss but it was okay. I lost those few pounds during my pre-op diet. My advise to you is to call cigna and stay on top of what needs to be done, etc. stay on top of your team and ask when they’ll be submitting paperwork, etc. in turn when they do, call cigna again and ask if they’ve received them, etc. I did all of that, my paperwork (after all was said and done) was submitted on a Thursday morning and I was approved the following morning. May not work for everyone but it sure does help to know what’s going on.
    Blessings to you on your journey hon!


    Thanks so much for your detailed response!! I spoke to my surgeon’s insurance guy (I forget his official title) and started the process. I have an abdominal ultrasound and some x days booked on Thursday I assume to just check out my anatomy, I also have an umbilical issue that might need to be cleared up surgically so that may be why also. Then I have my psych evaluation on Friday - which seems rather soon to me, but I guess better to get it out of the way?! Waiting on the dietician to call me to set up an appointment. I’m hoping that I won’t need to see a cardiologist, but will see. So much happening at once!



  10. Hello all!

    I am just starting my journey and have decided to have the gastric sleeve surgery. I have been overweight all my life, BMI is currently about 47. I have Cigna Open Access Plus through my employer. My first visit with the surgeon is on Monday morning, so I am hoping they will have more details there and that they have worked with these insurance requirements before.

    Does anyone have any tips for me with getting approved with Cigna? How much weight did you lose on the 3 month supervised diet? I know that gaining is a no-no, but I am worried that if I happen to lose "too much" in their eyes, they will think I don't need the surgery. Was anyone approved on the first try? I see a lot of people being denied in the beginning. Any other advice would be much appreciated! I am so ready to get my health back on track and take this step to be able to enjoy the rest of my life.

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