Tiredmimi

I like Syntrax Nectar as well (Twisted Cherry and Roadside Lemonade are my favourites). These mix well and taste like regular drinks and unlike other Protein powders with chocolate or vanilla flavours, work well on their own.

I make sure I get at least 2 Protein Shakes down a day, that guarantees 60g of protein; all other is a bonus!

Not to sure myself.
I bought the Premier Protein Water that is premixed but I have to add water because to me it's to sweet.

Yay! Come join us on the other side...😁

Congratulations!!

Well I finally got approved after Cigna denied initially! I am sooo excited and nervous at the same time. I call tomorrow to get scheduled and if all goes well I will have my surgery February 24th! I went and bought my stuff to start my 2 week liquid PRE-OP diet tomorrow! I am literally eating everything this weekend I can knowing it will be a long time until I eat again and hopefully never a lot! I am grateful for this forum. I feel so much more educated than I would have been had I not been able to read everyone's experience. I will keep you updated going forward. It has been a little over 2 weeks since they denied and since then my physicians office did an appeal and a peer to peer, so I am thankful! I started the process in November(actually thought about it for a year)

Congratulations

Not to sure myself.
I bought the Premier Protein Water that is premixed but I have to add water because to me it's to sweet.

Sorry to hear about that. If you meet the requirements, I don’t see why they denied you. Apparently something as small as your medical clearance letter can lead to a denial. I was told to make sure the clearance letter from my physician specifically stated that I am medically cleared for the procedure and that it is medically necessary due to my hypertension. Another issue I’ve heard is that while Cigna covers the procedure, sometimes the employer excludes bariatric surgery.
I also have Cigna with a BMI of 35 even and was approved in one day. I was given a checklist of what I needed to submit for approval and can share if you’re interested. Good luck!

I think that they are just putting you through your paces. Have your dr appeal the denial. Hang in there because I really think that you will get approved.
please keep us posted.

Do t give up. Some insurance companies just put you through your paces to get the benefits that you are entitled to. Someone has overlooked something.

You're entitled to at least one appeal, so appeal it and provide more medical evidence for the necessity and see what happens. Good luck.

I've not used them, but I've heard people get great results from a law firm out west called Lindstrom Obesity Advocates. If you google the name you can find their website, and the first consultation is free.
I agree with Puffy-no-more...check your height. I was 5'4" my whole life, but the office measured my height recently and now I'm 5'3", and just that one inch put my BMI into the range that Medicare covered!

I realize that a lot of people have higher BMI's than me. I turned 60 this year which almost makes me feel if when the insurance receives these pre-certs if that plays into their decision. I feel my age might be used against me here but idk. The thing is both of my parents died in their 60's due to complications of diabetes. They both had heart disease and heart surgery. They had many different illnesses and I have been fortunate so far as far as that goes. I just want to make a positive change now before it is too late!

I am going to hopefully speak with them tomorrow! My Cigna plans requirements clearly state BMI of 35-40 and 1 or more comorbidities. When I did my surgical consult hos nurse said oh you will get approved so I was pretty hopeful until today!

Also, check your medical records and make sure your measurements are correct. Not in relation to WLS but I had an issue one time with a nurse putting info in wrong and it showed that my BMI was a lot lower than what it actually was cause she had made me taller on paper. 😬

My comorbidities were diabetes. High blood pressure. Cholesterol issues. Others have sleep apnea.
Yeah have a good chat with Dr make him resubmit a better letter

I am going to hopefully speak with them tomorrow! My Cigna plans requirements clearly state BMI of 35-40 and 1 or more comorbidities. When I did my surgical consult hos nurse said oh you will get approved so I was pretty hopeful until today!

Most places need 2 or more comorbidities if under 40 BMI..
Ask your surgeon to adjust the paperwork

Can take 2 weeks

Stay positive. I understand how you feel though. It was 9 months from start to my surgery day. I'm not complaining, but I could have had a baby in that time! 😜. Just kidding, I'm way to old for that. LOL!

This happens sometimes - and sometimes you'll win on appeal. See what the surgeon's office has to say - I'm sure they've dealt with this before and can tell you how to proceed.

Ugh I'm so sorry you're going through this. I hope you get it figured out soon.

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You aren't alone. I always say I have the patience of a knat. Deep breaths and stay positive.

I was 54 when I had it last year and everything has turned out fine. I've lost 65 pounds, probably could have lost 80 or more, but I still have hope for this year to lose another 20.

I am having my surgery 4 days after my 56th birthday. I am very excited.

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