Heather120617

I need a little help from others that have been approved with CIGNA. THIS Is the most up to date policy (see below). They actually update their policy on the 15th of July so it was revised and updated today. No changes were really made. Anyways, I do meet the requirements but my question is regarding Cigna coverage. Most plans require a monitored 3, 6 or 12 month diet/nutrition/weight loss management through PCP or somewhere similar. Cigna's policy says NOTHING about this, only that "a statement from a physician other than the surgeon, that the individual has failed previous attempts to achieve and maintain weight loss by medical management" - it gives no other requirements or indicators. I called Cigna and two different reps confirmed that it is not required. Although when I went to my Drs appointment they told me they thought it was six months worth of supervised diet! I think they are confused bc of the “within the last six months” part. SIGH! They said they will look into it more So, for those of you that have been approved in the past few months, do I have to have a letter from my primary that recommends bariatric surgery? Would this be the same letter or separate from the on where they state I have made several attempts and failed? And what did you submit/have your PCP write to say that you had failed previous attempts? Thanks in advance for your help! Sorry I just know Insurance’s are so picky! below is link to coverage https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0051_coveragepositioncriteria_bariatric_surgery.pdf