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

Denied .. Due To A Clause By The Company I Work For



Recommended Posts

I was scheduled for July 9th and I just received a call from my surgeons office that Cigna denied me due to a clause the company I work for has on their policy , Cigna was just recently changed to 3 months from 6 months well according to them my workplace has a cause of 6 months ... so even tho Cigna changed the clause on the company policy is 6 months ..... I am so frustrated that I feel like just giving up ...I know its only another 3 months however its always something ..... feeling depressed

Share this post


Link to post
Share on other sites

It is frustrating, but you can make it for the three additional months. Don't give up.

Share this post


Link to post
Share on other sites

Have you brought the issue up to your company insurance person or HR rep ? This may have been an oversight. If not, then another 3 months compared to the rest of your life....

Share this post


Link to post
Share on other sites

Hang in there! You'll be glad you did. You just have to figure out if you want enough to jump through the hoops. It's very frustrating, but in the end, I'm sure you'll be glad you stayed the course.

Share this post


Link to post
Share on other sites

Please don't give up. This is just another 3 months to get your body prepared for the beautiful transformation that will be happening. It's worth an extra 3 month wait. Put your head up and keep going forward. yes, it is totally frustrating all the hoops the insurance company is making you jump through. I had to do the six months also, but took it one day at at time. Even up to the OR room, I couldn't believe it was actually going to happen. I woke up and it was reality. :) Keep on going, it will happen.

Share this post


Link to post
Share on other sites

I agree with everyone who posted. Don’t give up, it is frustrating but try to use the additional time to prepare for a lifestyle change like no other. You will get there in time…good luck!

Share this post


Link to post
Share on other sites

Don't give up! As frustrating as it is you will be happy with your results. Another 3 months to help get yourself better prepared for your fabulous transformation! This hurdle will only make you stronger! Have faith all will work out in the end. Good luck!

Share this post


Link to post
Share on other sites

Don't give up - why not pretend today is your surgery and try eating the post-op kinda diet till you are ready - imagine if you could lose 20 or 30 pounds before you even get to the operating table!

Share this post


Link to post
Share on other sites

Thank you all , I know you guys are right.... I was so prepared, I will take it day by day and start to work on the new me as suggested by Patrick ... I just hope that at the end of the 6 months I am approved with no issues ....

Share this post


Link to post
Share on other sites

Stick with it! As said above it's worth it.

On the same note this is why I went self pay in Mexico. I heard of 2 people who worked for my company years ago with insurance issues. One waited nearly a YEAR for surgery as they kept delaying and jerking him around between Drs. paperwork and insurance hoops. The other guy gave up after he lost weight on the supervised 6 month diet and then they pulled the plug and said he was then ineligible, last I heard (before he was laid off) he was fatter than ever and completely gave up on WLS.

I'm not suggesting you do the same but self pay worked for me.

Share this post


Link to post
Share on other sites

Have you brought the issue up to your company insurance person or HR rep ? This may have been an oversight. If not, then another 3 months compared to the rest of your life....

Ok just finished speaking to my Benefit rep and Cigna (3 way phone call ) they have instructed me to appeal through my insurance carrier , which will take 30-45 days , then if Cigna denies me again ... then I have to appeal through my employer ... another 30 days ... That is almost the 3 months I had to wait to re-submit , with that said I will just wait the 3 months... Hey, I at least tried and feel better that I did ... :)

Share this post


Link to post
Share on other sites

I'm just now starting my six months I wish I had 3 more months to go .. That's good u tried my coordinator just inormed me that on the six month diet I could lose as much as I want they just want to see if I'm following the rules ... I think u should use the time to loss more weight and practice presurgery reginmen ... Good luck to u

Share this post


Link to post
Share on other sites

Just to let you know. If you lose weight under the acceptable BMI, the insurance company can still deny you. I have Kaiser and I did lose weight as required and then the referred surgeon's office said I was under the allowed BMI and wouldn't be able to do the surgery. Then I reminded the Doc that I had a dx of diabetes but choose not to take any meds, but was taking Lisnipril. It was a battle. I won, and here I am, 8 months later, lost 74 lbs. :)

Share this post


Link to post
Share on other sites

I guess it depends on insurance companies ... This what my coordinator for my surgeons office said .. Hope it to be true I want to lost thirty pounds

Share this post


Link to post
Share on other sites

just hang in there ..... I understand your flusrtration..... it seemed like every time i got close there was one more thing I had to do.... finally got there and now 3 months post op and 50 lbs later ... its definantly worth it.

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

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
    • RacMag  »  bhogue925

      Hi, I’m new here. I’m currently on the liver shrinking diet. So far so good, but I have to say I haven’t found a protein shake I like. Anyone have any suggestions please? My surgery date is September 17th. 
      · 2 replies
      1. BlondePatriotInCDA

        Fairlife Core are by far the best. They taste just as they are - chocolate milk. You can either get the 26 grams or the 42 grams (harder to find and more expensive). For straight protein look at Bulksuppliments.com ..they have really good whey proteins and offer auto ship plus they test for purity. No taste or smell...

      2. BlondePatriotInCDA

        Fairlife has strawberry, vanilla and of course chocolate. No more calories than other protein drinks. Stay away from Premiere, they're dealing with lawsuits due to not being honest about protein content.

  • 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

    ×