Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Has Anyone Had Issues Getting Cigna Ins. To Approve?



Recommended Posts

I am just gathering info & getting details about Lapband, so any info that can be shared would be great!

Share this post


Link to post
Share on other sites

Cigna approved mine right away. I had to have documentation of a 6 months medically supervised diet, BMI of 35+ and at least 2 comorbidities. They paid 100 % of my surgery and for all of the preop testing and procedures. I only had to pay copays. I'm not sure if yours is the same but I had a great experience with them. Good luck!

Share this post


Link to post
Share on other sites

I'm going through the process now. They have decreased the supervised weight management from 6 months to 3 months. I'm just gathering all my info now. I have a BMI of 39% plus Diabetes and high cholesterol. Doctors office said it should be very easy to get approved. :-)

Share this post


Link to post
Share on other sites

I posted this somewhere else, but just in case you didn't see I'll put it here too. I'm with Cigna and they did approve me on the first try. They have their requirements listed on their website, and from what I hear as long as you have all of the required paperwork submitted, they're pretty good about approving you. So I think this is a great insurance company to be with for the band.

They did make me wait the full 30 days that they were legally allowed though, no matter how many times I called. My theory is that the only way to get that expedited is to have your surgeon give them a preliminary surgery date. My surgeon doesn't schedule preliminary dates until after insurance approval because of how many people they get, and they told me that ALL of their Cigna patients have to wait the 30 days. I've seen a lot of people on here who didn't have to wait though, so if you can get your doctor to send in a preliminary surgery date when he submits you to Cigna, you may have a quicker wait time. Good luck!

Share this post


Link to post
Share on other sites

I heard that they changed their requirements to 3 months but that if you started 6 months you have to finish the 6 months anyone been told same thing

Share this post


Link to post
Share on other sites

That's not true, I started with a six month requirement but True Results called me right before my fourth visit to tell me about the changes. They bumped up my next visit so I could take my lab work and I was submitted to Cigna soon after that. They approved me on the first try.

Share this post


Link to post
Share on other sites

I went to my surgeon meeting Wed and they sent me away said I had to come back on Aug 1 because they said I started the 6 month and cigna said I had to complete I guess Mon morning I will call

Share this post


Link to post
Share on other sites

I have CIGNA too.

Fine print says obesity surgery is not covered.

Phone rep says not covered.

Submitted it just for fun and they are saying I need 3 nutritional and a Dr. recommend.

Had surgery before this was settled and don't know where we'll go with this.

Whatever you do - just get it in writing because depending on where you reside - CIGNA has different provisions.

Share this post


Link to post
Share on other sites

I am waiting on approval from Cigna. I completed the 6 month supervised weight loss ( they changed the requirements to 3 months when I was at the 6 month mark), had a letter from my doctior and from a psychiatrist. They still came back for more information. the surgery center has sent the information and now I'm waiting. The original paperwork was submitted on July 2nd. They told me that Cigna is the worst for taking the full 30 days and very rarely gives a decision earlier. The waiting is frustrating!

Share this post


Link to post
Share on other sites

I am waiting on approval from Cigna. I completed the 6 month supervised weight loss ( they changed the requirements to 3 months when I was at the 6 month mark), had a letter from my doctior and from a psychiatrist. They still came back for more information. the surgery center has sent the information and now I'm waiting. The original paperwork was submitted on July 2nd. They told me that Cigna is the worst for taking the full 30 days and very rarely gives a decision earlier. The waiting is frustrating!

Cigna has definitely changed because I did the 6 months and was denied on day 1 for lack of information and they had my birth year wrong. They said I was under 18. As soon as that all got corrected I approved on day 3,

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 1 reply
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×