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CIGNA APPROVED ME!



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IN 5 days! I called the customer service line to check my authorization today....and it said I was Approved and my approval number! Usually I would get a live person to explain where things were. My surgery is on Wednesday the 24th...so to all you Cigna insurers....follow their criteria exactly as outlined for approval. I used my PCP to do my nutritional 3 months of supervised dieting. Coached her on how to do 3 separate clinic notes and the buzz words she needed to mention so that they were highlighted in my clinical picture. My BMI was 38-39. With a long documented history of OA of both knees and severe sleep apnea( diagnosed during my assessment and complaints of loud snoring getting worse as reported by my husband)which showed up with my increased weight. So her recommendation rather clearance letter for the surgery was only one paragraph the said I was a good candidate, had failed multi attempts to maintain any weight loss and that my weight has increased pressure on my knees and further caused my severe apnea. Of course my bariatric surgeon did a good job too...I just did not see his note.

So....next week this time I will have joined the ranks of sleepers.. This website I have scoured over many threads and have found it to be quite helpful. Since December I have been lurking and learning..so I am encouraging all my Cigna insurers keep the faith, but document well and follow requirements to the letter. Good luck and hope you will have a great outcome....keep the faith!

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Yay for you!! Congrats!! Keep us updated!! :)

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Thanks...and I will....have to share my experience because this site has been very valuable to my journey because others have shared theirs!

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Oh I am so glad you posted. My PCP used the same wording and I was worried. Have my last appointment. Monday and them they will submit. Fingers crossed for quick approval.

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Sissytx, if you followed their guidelines, you will be fine! You will be sharing good news soon!

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Tennessee Sleever Soon,

Paperwork sent to Cigna on 4/15/13, got approval number today. YEA YEA YEA! Due to Doctor schedule surgery will probably be sometime in June. I am super excited! Thanks Cigna

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So glad you will be joining us! Congrats!

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This is great to hear about Cigna and fast approvals... I've done my 3 months, my consultation is this coming Wednesday, psych consult the next Wednesday, my pcp is totally on board, and in the same network as my surgeon... Hopefully this will be a relatively quick process...

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Yes congrats that is awesome!!! this gives me hope! my last month of PCP visits is this month I have everything else all done this totally make me feel like there is light at the end of this tunnel!!

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If you followed criteria, Cigna seems to hold up their end of the insurance contract. Good luck to you all!

Sent from my iPad using VST

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Tennessee Sleever Soon,

Paperwork sent to Cigna on 4/15/13, got approval number today. YEA YEA YEA! Due to Doctor schedule surgery will probably be sometime in June. I am super excited! Thanks Cigna

Congrats

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My Cigna approval came 5 days after clinical notes were sent. Follow their rules. I start my preop diet Monday. Have my preop appointment tomorrow morning.

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I went through True Results..yesterday was my last visit of the four weight loss consultations that was required and I have completed everything else that Cigna has required but the insurance coordinator said that because my PCPs letter did not say it was a medical necessity that I may not be approved. It did say he thought I was a good candidate and I have HBP with a BMI of 43. I am hoping that I get a quick approval like u.. But either way congrats and good luck...

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

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

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

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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      1. This update has no replies.
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