hallen651

I was told that my bmi had to be over 35 for 2 years I was denied the first time around and I appealed and was approved I was banded June 15th and have lost 25lbs

Wow I am very happy your feeling so good!!!! I will be banded tomorrow 6/15/09 and i'm scared and excited at the same time I will let you know how everything gos. I would like to keep in contact so we can help each other out with this journey. Thanks Holly

After I got the approval it only took 2 days and my surgery was set for June 15th. I wish you the best of luck and I hope you get approved the first time so you dont have to appeal. Please keep me posted. THANKS HOLLY

Yes I got denied because for my 2 years weight history I went to the doctors one time in 2007 and my bmi was 34.7 so my pcp wrote a letter stating i needed the suregery and I also wrote a letter stating why I needed the surgery. I have high blood pressure,gerd,high cholesterol and I live in NY. If you have any other question please feel free to ask. Thanks Holly

Well on my 6 month weight loss program I did not lose any weight if anything i gained like 3lbs and my bmi was 37.8 and as for Cigna they denied me the first time around then I appealed and got approved I have my Surgery on Mon after a year its finally going to happen. I you have any other question please feel free to ask. THANKS HOLLY

I just wanted to let everyone one know that I was Approved :thumbup: June 6th and my surgery is scheduled for June 15th.I am so excited to start my new life.I will keep you all posted on how my surgery gos. Thanks Holly

I was denied by Cigna because they said my bmi wasnt over 35 for the last 24 months I went to the doctors 1 time in 2007 and my bmi was 34.7. I have appealed the denial I call them every day to see what the stats are and they keep telling me they are still reviewing it. I have high blood pressure,gerd,hyperlipidemia and my bmi now is 38. So my question is has any one been in the same situation that got denied and got approval after appealing?

I also did the 6 months and I only lost a few lbs to but with the 24 month paper work I only went to the doctors 1 time in 07 and at that visit my BMI was 34.7 so thats what denied me.So now I have a case manager with Cigna and they want my pcp to write a detailed letter stating why I need the surgery and to put in the letter all my co-morbid conditions and I also have to write a letter stating why I need the surgery so i'm so stressed that I wont get approved I just know that I wont give up.

Thanks so much for getting back to me my BMI IS 36.8 and I have high blood pressure,gerd,edema,hyperlipidimia and i'm on meds for all.

I was denied by Cigna OAP because I needed to prove that I had a BMI of 35 for 2 years and in 07 I only went to the doctors 1 time and my bmi was 34.7 so now i need to get a letter from my PCP and I need to write a letter myself to the ins for the appeal. So my question is does any one have a copy of a letter from your pcp or a letter you wrote to help with getting Ins to approve you for the surgery?

I have a BMI of 36 and have High Blood pressure,Gerd,hyperlipidemia, I have done all my test with my doctor and the 6th month diet.I have Cigna OAP what do you think my chances are for being approved?

I am so happy for you:thumbup: I am hoping for the Ins Gods to approve me, I have a bmi of 36.7 and I have high bp on med for edema,hyperlipdemia, Gerd.I have done my 6th month diet visits but I did not lose any weight I gained about 5lbs with in the last 6 months I quit smoking and i went to food instead of wanting a smoke. What do you think my chances are of getting approved? I also have Cigna Open access plan

Thats great news!!!! I hope I get the same news but I have read so many post on this site that you have to have high bp,diabetes,sleep apnea,Im just hoping they see that im on my way to getting all those things if I dont control my weight now.Is all I can do now is pray

Hello I have Cigna OAP and I have to do a 6th month diet with my PCP and have to have alot of other test done.My BMI is 36.8 I have GERD,HYPERLIPDEMIA,ARTHRITIS,EDEMA,AND SEVERE BACKPAIN.I have 2 more months left of diet and ill be in the waiting process with the INSURANCE GODS LOL. If you dont mind me asking what are your co-morbid conditions?

Hello I have a BMI of 36.8 and have Gerd,artheritis,hyperlipdemia,pitting edema and severe back pain.I have Cigna oap and I am almost done with all of the test before we send in the info to the ins company for approval.I am not sure what to expect a denial or an approval cause my co-morbid conditions arnt severe enough.What r your opinions on me getting approved with these conditions?

Im not sure if these are co-morbid conditions but I have Gerd,Hyperlipidemia,Joint Arthritis,and Severe back pain and also my doctor told me im pre -diabetic.:biggrin: Im 5'4 and my bmi is 36.8 so im not sure if I have enough co-morbid conditions to be approved I have Cigna Oap plan.Please any info would be appreciated!

Mtanna thanks so much for your reply I really need your support!!!!.I am so ready for this and I can promise you that I will not give up.I did for get to mention that I have Gerd aswell I just want to be healthy so I can be around for my 2 beautiful girls and I want to feel beautiful like I know I am on the inside. I'm so happy you got approved and you had your surgery hows everything going? please keep me posted of your progress

Hello my name is Holly I am in the process of the 6 month diet and im still have 2 more months to go I have also had all my other test done pulmonary, upper gi,ect.My BMI is 36.8 and my co-morbid conditions are edema,high triglyecerides,severe backpain,artheritis,and borderline diabetic.Im not sure if these co-morbid conditions will be severe enough to get approved with Cigna OAP.Im just hoping and praying it will be.

Thanks so much for your reply I am in the process of the 6 month diet and I only have 2 months left and all my other test are done then my doctor will be sending all info to the ins.I just know I really need this so Im hoping and praying they will say yes.

Well I dont know if im setting myself up to just get knocked down but im 33yrs and I have been over weight all my life my bmi is 36.8 and I have Gerd,High Trigyecerides,Edema,Artheritis,and severe backpain.I have Cigna OAP INS. My question is do you think I have enough co-morbid conditions to be approved or do I have to have a BMI of 40 or more? Any info would be great.

Well I have Cigna OAP and i know they pay 100% but like you said with a bmi of 36.8 and with my 2 co-morbid conditions that i already told you my doctor added edema,artheritis,and back pain but i dont think any of those would matter much.Well i'm not going to give up i'll fight to the end lol.Hows everthing going with you are you having any luck with getting a loan?

Thats AWESOME!!!!!!!!! I'M SO HAPPY FOR YOU! Im still in the waiting process of my 6 month diet with my pcp I have 2 more months left with that.I have Cigna OAP and i have heard they are very hard to deal with.My bmi is 36.8 and i have 5 co-morbid conditions.So im hoping they will feel for me and approve.keep me posted on when your surgery will be

Wow 10lbs thats awesome!My doctor is great he likes to meet with you first just to see what surgery would be best and also for insurance reasons I have to have 6months diet with pcp and phyc eval,upper gi,pulmonary,3support meetings and 2nutrition appts befor I can even send info over to have ins approval.If you dont mind me asking what is Pseutotumer Cerebri?

Well I have Cigna OPA insurance and if they dont approve I wont be able to have it done either but im hoping and praying.My surgeon is DR Ali at HAMOT MEDICAL in Erie PA.He is wonderful aswell as the staff.I only have 2 more months of recorded weight loss with my pcp and 2 more support meetings to attend and they will be sending in all my info to the insurance.Then is the waiting and praying game wish me luck:confused_smile:

Well i'm so glad we are in this journey together are you going to be self pay or insurance?I have Cigna OAP and i have heard they are very hard to deal with.My surgeon said I have a good chance on getting approved due to my co-morbid issues.Well keep me posted and ill do the same. Thanks Holly