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And So It Begins...waiting On Insurance Approval

I got the call today from Surgeon's that I have met all the necessary criteria and that they were submitting to Cigna today for approval. They are hoping it will go smoothly and look to have me scheduled for the end April. :-) Now the anticipation begins....

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  • Approved!! Monday I was denied and this morning I got the call stating the approval is in. 5 months worth of food journals and exercise logs finally won them over. Thanks to all of you for mojo I

  • Lap Band Blonde
    Lap Band Blonde

    Good luck! I just had mine submitted too

  • Letsdothis
    Letsdothis

    Good luck to both I also got my paper work submitted, I have bcbs of Cali

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Good luck!

Good luck! I just had mine submitted too :)

  • Author

Thank you and good luck to all. :-)

Good Luck, hopefully the auth process will go quickly. Some insurances will authorize it simply with a phone call, others have to go through the whole paperwork process. (I was lucky, mine didnt even need approval, and was paid very quickly) Keep up the good work towards your goal

Good luck, my precert was submitted today to my insurance so I am finally in the waiting game as well. I am hoping it goes quick and smooth... :)

  • 2 weeks later...
  • Author

Thanks for the denial Cigna....I half expected it but the blow to my morale is complete.

Did they say why?

Appeal it!

  • Author

First off one reason for the denial was because they had me listed as being under the age of 18 (I wish). I haven't been a teenager in a very long time so that part is quickly resolvable. Second part is incomplete documentation of a 6 month physician supervised weight program in the last 24 months and incomplete documentation of a 6 month physician supervised weight management program within the past 5 years without significant gaps.

Now technically my 6 months is not up until April 12 but the Center was trying to get me approved now so I can have the surgery on April 16. They are going back to work with Cigna on getting what is needed and get my DOB straightened out. Hopefully they will be able to convince them.

I have learned that while knowing in the back of my mind receiving a denial letter the first time around is not suprising however it still struck a nerve and yesterday was not a great day mood wise.

Good luck! Hoping that you are approved next time.

  • Author

Thank you. They are submitting additional documentation today so hopefully that will do it.

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