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Cigna Approved Surgery!



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I just got my approval from Cigna on my first try! I am so excited, I can't wait to meet with the surgeon and set the date.

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Yay for you!!!! fruitsex.gif

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Congrats!!!!!!!!!!

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I just got my approval from Cigna on my first try! I am so excited, I can't wait to meet with the surgeon and set the date.

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Insurance

I am so happy for you. I also have cigna i heard they were hard to get approval from. How long did it take to get approval i heard you have to go through 6 mo. Nutrition...is that corect?

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Yes, I had to do the 6 month supervised diet, but it really did go by quick. They actually are not hard to get approval from if you have everything they require. I was very nervous that I would get denied. I was just at a 35BMI and was diagnosed with sleep apnea. I thought because I was on a lower side it would be tougher for me.

I read all of their requirements over and over. I made sure I had fulfilled them all prior to submission. I was required to be at least 35BMI with 1 co-morbidity (check), 6 month supervised diet (check), psych. Analysis (check), and have a letter from a doctor other than the lap band doctor stating I was a candidate for the surgery (check). The letter took me the longest to get as I waited till the last minute.

They submitted to my insurance on 12/13, and I got the approval call and letter from cigna yesterday stating that I was approved. I thought it was pretty quick with all the holidays to get the approval. Again, just make sure you have everything prior to submitting, they are quick to deny if you don't submit everything together, at least that is whAt I heard.

Good luck to you!

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YIPEE

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My appointment with the surgeon is scheduled for January 11th. I am so excited and hope I can schedule the surgery date at that time!

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Awesome!!! Congrats! I have been fully completed with everything for two weeks now. I am only waiting for them to submit me. Apparently the Psych took an extreme amount of time completing my evaulation paperwork...Ugghhh...Surgery date was 2/14 but they moved me up to 2/7...Let's just hope my approval comes thru on the first try :(...But everything looks like it is working in your favor. Congrats my dear!

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CIGNA HELP PLEASE......Thanks for the info earlier but i do have just a few more questons if you have the time....well i called the Dr. Office explained im rt at 35bmi and do have high blood pleasure. So they are good with that im worried about the 6 mos. Dieting if i fall under the 35 bmi will i know longer quailify for lapband? And what r they looking for besides that we understand our food choices. Just am worried they will deny me i have dieted for over 30 years and know the lapband would work for me. Please help Cigna lapbanders

Thaks so much

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CIGNA HELP PLEASE......Thanks for the info earlier but i do have just a few more questons if you have the time....well i called the Dr. Office explained im rt at 35bmi and do have high blood pleasure. So they are good with that im worried about the 6 mos. Dieting if i fall under the 35 bmi will i know longer quailify for lapband? And what r they looking for besides that we understand our food choices. Just am worried they will deny me i have dieted for over 30 years and know the lapband would work for me. Please help Cigna lapbanders

Thaks so much

They go by your initial weigh-in prior to the diet. I was worried about that to. They do tell you "unofficially" to try not to lose to much weight during that 6 months. I fell just below 35BMI on my final weigh in but was approved.

The 6 months supervised diet was really nothing. I received a call monthly asking me how I was doing on my diet, did I make any changes to the foods I was eating, was I excersing, did I remember to chew my food slowly, etc. I never actually saw a dietician. They would also asked me what I weighed every month.

I would love to tell you not to worry, but that is all I did till I received my approval. Again, just make sure you have all your ducks in a row prior to submitting!

Good luck to you!

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The CIGNA plan I'm on doesn't cover any type of weight loss or weight management programs or services. So unless I can manage a self-pay, this option is not available to me. Sad...I was set on getting banded, and was starting the local research to see where, when, who, etc. :/

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Janders, do you mean they don't cover the dietition? Cuz that is normal. Most don't. Mine did not ...so I had to self pay for those appointments but it really wasn't too bad. I mean, I work at a gas station and I was able to swing it. But everything else was covered so it worked out okay!

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The CIGNA policy I am on excludes anything related to weight loss surgery and weight loss management.

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I was afraid you were going to say that... :( I'm sorry hun that sux!!!!!!!!!!!!!!!!!

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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