I researched and verified all the requirements for my Cigna insurance before getting started. I started my process on May 29, 2018. This was my first of the 90 days worth of appointments for medically supervised diet. I attended seminar on June 10, and saw surgeon for initial on June 26. I attended my nutrition class, for my psych eval. Then on July 15,2018, Cigna put out a NEW policy on Bariatric surgery coverage and requirements. Really?? Who does that in the middle of the year?? Anyway.. the new policy does not require the 90 days anymore. It requires a letter stating you have failed medical weight loss in the past and that it is medically necessary and that you are cleared for surgery. No mention of records to back that letter up. So, I called CIGNA to find out how long the letter needs to state that has been a problem, and if records are needed to go along with it. All they can tell me is that records are not listed as a requirement. In a way this put me ahead of the game, because my last weight-loss appointment isn’t scheduled until the last day of August. My paperwork was submitted to Cigna yesterday. Has anyone had to deal with this since July of this year with the changes to the Cigna policy?