Odee

Best wishes! Be well and stay in touch.

Awesome & Congratulations ! I am scheduled for September 4th =)

Positive vibes being sent your way! Best wishes =)

Hello September Sleevers! I was approved yesterday and have a surgery date of September 4th!! Woot Woot!! So excited =)

Approved today and 9/4 is my surgery date ! I am so excited and grateful! I didn't expect a date so soon, very happy. Now I am researching what comes next, I was told I have to have a bunch of tests and the office was going to call me and coordinate the appointments. I'm starting a journal today also. I want to record and document everything that I go through. I am very thankful that I found this forum, it has been so helpful and informative, I can't even express my gratitude. I want to scream in the middle of the street and jump up and down (what a sight that would be). Odee

Thanks ! Can't wait, such a positive vibe, love it.

Thanks for the encouragement. You look great, keep up the good work

I just got my date - September 4th!! Holy cow things are moving fast now!!!

Thank you all ! I am very excited. I can hardly contain myself at work today, I want to scream !!!!! I am also a little bit nervous now that its all coming together. So many things to worry about regarding the surgery... Right now I just want to enjoy this feeling cause it sure is nice !!

ONCE all the requirements were met to Cigna's satisfaction (Friday), I was approved today (Monday). But, we went several weeks back and forth with Cigna on technicalities. I was denied twice and then had to have a Peer to Peer. Cigna was a real stickler, believe it or not, on the letter from my primary care physician. Good luck to you, I'm sure all will go smoothly for you. A word of advice, make sure the letter clearly states that you are "cleared for surgery". My PCP did 2 letters that were rejected but we got it right the 3rd time(always a charm). Odee

You look marvelous !

I am so frustrated with Cigna and with my surgeon's office !!!!!! OK, let me calm down. What should I expect from the *peer to peer* that Cigna is requesting? This whole process has been so frustrating and upsetting, right now I literally feel like I've been punched in the gut. Sorry for the dramatics, its just one of those days for me today - not just this but everything is going wrong today. Can anyone offer any advise on the peer to peer? Also, has anyone had to do a formal appeal and won? My surgeon's office said if the peer to peer doesn't work, I am on my own to file an appeal. Ughhhhhhh!!! I feel like I've been on my own the whole time dealing with Cigna. Sorry for the venting. Thanks !

That's why I was so surprised about the letter problem. I've seen posts on here where others have said Cigna is very specific about the wording in the letter. Why wouldn't the office know this and why would they twice submit the letter when it was incomplete. Thanks ladies for the encouragement. Much needed.

I was denied because the letter from my doctor did not clearly state "I was CLEARED for surgery". Totally bogus because my doctor basically said that twenty different ways but Cigna wanted exactly those words. This has happened twice and now they want the peer to peer. The coordinator was very bleak about it. I feel terrible because these are just incidental issues they are getting hung up on and more so, I am frustrated with the surgeon's office for not being on top of the requirements. Very depressing to go this far and get stopped over a technicality and the surgeon's coordinator laugh's it off saying "well you can always appeal, you know how insurance companies are". Maybe I am just being overly sensitive because I'm so far into the process and feel like I've put my heart and soul into it.

No one had to have the "peer to peer" ????

Thank you all for your support and kind words. I can't say thank you enough! I was really feeling down. I know more than I did a few hours ago and feel optimistic. Feeling much better ! =) Thanks Ladies!

So, Cigna is claiming they still need a letter from my doctor that says I am CLEAR for surgery. My doctor has sent over 3 letters that all say variations of this yet they are not accepting the letters. Now Cigna says there has to be a peer to peer consultation. My surgeon's coordinator said she doubts the surgeon will do it and we'll have to appeal. Anyone have to have this peer to peer and why would the surgeon not do it. She made it seem like he doesn't have the time. Again, very disappointed especially since I did complete all the requested requirements. Cigna is definitely playing games and it is very frustrating ! Thanks for letting me vent ! Odee

So I just found out that Cigna denied my claim. My coordinator said we'll just try again after resubmitting. I feel like I was kicked in the stomach ! They said the PCP letter and co-morbidity were missing and the consultation with the nutritionalist. The PCP letter and co-morbidity information was not omitted so I am not sure why they are claiming that in the denial. The consultation with the nutritionalist was missing however. I have that appointment tomorrow at 11 AM. The coordinator said she's been super busy and didn't realize I hadn't had the consultation yet and apologized. Why would Cigna claim to not have received the letters ? Just frustrating to get this far and then get denied so quickly. Just wanted to vent ! Thanks for listening ! Odee

Thanks ! I feel better now =) Knowledge is power ! Odee

Hello all, I thought I was well prepared for all of my pre-op requirements but my coordinator just called and said she can't believe she forgot to have me do the "ketosis diet". I have to go there for an appointment tomorrow at 11 AM. Can anyone fill me in on what to expect and is this a normal insurance requirement ? Thanks in advance ! Odee

Positive vibes coming your way !

Thanks for sharing ! I am pre-op and really appreciate and enjoy when you guys share your experiences. Your added humor was a plus !!! Congratulations =)