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Anybody with CIGNA insurance?

I'm trying to find out how many nutritionist visits CIGNA requires prior to approval for surgery. Also, how long did it take for CIGNA to approve you for surgery?

  • Replies 23
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  • BlueBonnet
    BlueBonnet

    Sorry to hear that, Lain! My BMI is also under 40, but I have high BP, high cholesterol and sleep apnea. Maybe some of it is worse because of age... I'm really hoping they surgery and weight loss reve

  • Erica mcgreer
    Erica mcgreer

    Mine was 1 visita month for 3 months.I started in Aug and finished in Nov.had my physic after that. I think my approval took less than 2 Weeks and I was sleeved on Dec.17 .I am doing great no complica

  • I have CIGNA Insurance and my Dr's office said it is the worst insurance for her to deal with. My plan required that I see a nutritionist once a month for 6 consecutive months. Last year they denied m

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  • Author

Sissy, I am hoping for the same thing...if not late April! Fingers crossed for both of us!

  • 2 weeks later...
  • Author

I am soooo excited! Apparently 3 nut visits was all that was needed...I have been approved for surgery! My surgery date is April 4th! Did I mention that I am excited? lol

So excited for you BlueBonnet. That is awesome. I hope to be a month behind you.

Cigna's requirements must vary depending on your company our plan. I had to have a BMI over 40, a history of chronic morbid obesity, 3 months of medically supervised weight loss attempt with PCP, over the phone nutritionist consultation, psych eval, and letter of recommendation from PCP. I have one comorbidity and was approved on the first try in one week. When I saw the insurance coordinator calling me so soon, my heart sank thinking I was denied. Scheduled for April 9.

That is awesome. I hope I am so lucky. My insurance coordinator will not submit until you have a full 90 day nut program. Although my bmi is under 40 I have several comorbidity.

I have Cigna and am having a band to sleeve revision. Some documents say I need the 3 months weight loss program with PCP, which I have done. Others just say the surgeon needs to show mechanical failure of the band, which he can. In reading that some of you have been required to see a NUT for 3 months too, I am getting nervous. My surgeon is submitting to Cigna for approval tomorrow. I can't have the surgery for another two months due to work, but my fingers are crossed for a quick answer so I can meet any additional requirements and get approved in time to have the surgery in late May or June as originally planned.

How long did it take everyone to get an answer (either way) from Cigna?

Thanks!

  • Author

Tommy: I got a response from Cigna in 10 days. I've seen some get theirs in 5 days. I don't know if Cigna has different requirements with conversion surgeries, but your surgeon/surgical coordinator should know. However, if you do have to see the NUT Cigna requires 3 visits in 3 months.

Good luck!

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