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Cigna anyone????



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Hello everyone!

I just got denied by Cigna. I didn't have all the proper dr. notation of monthy weigh-ins and such that they require...which is a pile of horse sh*t! I've been obese for at least 9 years, and overweight since puberty. My bmi right now is 52. The center that I am going with for the surgery has been somewhat helpful, however, one of their employees had lead me to believe that I would have no problem being approved. Therefore, I waited until I heard back from the insurance. Now I have to go on another 6 month diet, which, the claims director at the surgery center told me "don't be too successful at it". GRRRR!!!!! If I would have followed my instincts in the beginning I would have gone to my PCP right away and got on the diet at that point. Now I have wasted nearly 3 months! I'm so frustrated!

Anyone have Cigna? Anyone use a lawyer to fight their claim???

Please let me know. I don't know how much long I can stand this!!!! LOL!

-Michelle Russo, WA

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Hey, check out the "2 week wait begins" thread. I have Cigna and I too was just denied becuse of the 6 mo. supervised weight loss attempt. The thing is, i DID the 6 months! But for whatever reason it isn't being accepted. I was told to have my doctor call and see if she could provide any information in the appeal. Girl I know how lame this is. I am so mad I have taken so much time to jump through all these hoops and they just deny you over something so stupid. Obviously when you are morbidly obese this surgery is such a tremendous help. For Cigna to insist on these arbitrary requirements is so insulting. I think thet seriously are just looking to weed people out and make it harder to stick it out and get approval. Don't give up yet, ok? Self-pay is a bunch of dough - even in Mexico. Hang in there!

I will say, if you have seen your doctor or surgeon for the last few months, that can count towards the 6 months. They just need to make some notes about their reccomendations and record your weight and what type of diet you follow. I say this as I've just been denied! So maybe I'm not the best to give advice on specifics. But hang in there, ok.

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
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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.
      · 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.

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

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