I went to the information meeting in November. Had all requests and letters by December 1. Started my nutrition classes in Jan ( because they made my appt with the wrong person in December); completed the 6 months by the end of June. Had my psych evaluation in May.

Now the office is telling me I had to have the nutrition classes within 6 months of the surgery request. WTH? Does this make sense? They were not going to request the surgery before I completed the nutrition classes. Am I supposed to complete those classes again and re-do the psych eval. I don't have a money tree to pick to do all of this again.

Not sure but I do know that many carriers do have a window after they approve you that you must get your surgery within or you'll have to start all over.

Don't fret. The Cigna requirements changed to 3 months, so you have more than enough to cover for the lapse. If you need the psych eval again, the provider can just do an update stating there were no changes, and that you are cleared. The same can be done with the other appts. There is no need to do full evaluations again. Call Cigna directly and find out exactly what is needed since your 6 months (which is now 3 months) weren't consecutive. They will be able to tell you how to handle it. It happens more often than you think.

Maybe I didn't explain this right. They are now only sending the request for the surgery. I did complete my 6 classes consecutively. I wasn't told that you request first, then complete jumping through the hoops.

That's strange. I have Cigna and I'm scheduled for 8/10. I jumped through all the hoops first, then submitted everything. They came back and wanted another doctor's letter. So, I submitted it. Then they lost my application (which is a whole other story) . However, the request was subsequently approved in 30 days. My doctor's office coordinator was able to get more info than I was. I think it might be better to go through them than calling yourself.