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Add512

Pre Op
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  1. Like
    Add512 got a reaction from KarenLR75 in Cigna (Recent Apporval)   
    I had surgery Monday. This particular plan through Cigna does not require any time period of medically managed visits for nutrition or weight loss and is accurate per the page I posted. I was approved first go within 3 days.
  2. Like
    Add512 got a reaction from KarenLR75 in Cigna (Recent Apporval)   
    FYI Cigna sent my approval today so we are correct on the no 6 month thing for our plans. :)
  3. Wow!
    Add512 got a reaction from KarenLR75 in Cigna (Recent Apporval)   
    So. I am still in the middle of this process. My surgeon's office is also telling me i have a 6 month nutrition visits, but I've spoken to cigna THREE times in the past two months, and they have continually assured me that the specifications i've been given (above) are correct, and there's no 6 month requirement. my surgeon's office basically said that they'd submit the paperwork and we'd see what happens. I figure if they deny and we have to appeal, it's pretty obvious that the plan does not outline that this is a requirement. the only thing that says 6 months is that we have to have all of the requirements done within a 6 month period. the insurance coordinator at my surgeon's office is adamant about the 6 month thing, but i've spoken to a few people on bariatric forums that have said their cigna also did not have the requirement, so between that and my talking to cigna multiple times, i feel OK (but not 100%) about being approved. I will let you know once I find out, I'm guessing it'll take a week or two to get an answer back from them. My theory is that if cigna wants me to meet with a nutritionist for 6 months it should be clearly listed in the bariatric surgery requirements for my plan. it is not. and they have confirmed. sigh. i feel you. i would suggest that you call cigna, they will tell you the same thing as i just did, and then tell your office that you've spoken to them.

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