I'm really nervous about the whole insurance thing. My most concern is being denied. I have PCOS, Pre-diabetic, Hypothyrodism, Insulin Resticance. I did have gall bladder disease and had it removed in emergency surgery last March. I've already been on a Diet since April 13' (this year) with my pcp. I have my first Surgeon Visit in June. And will have 3 classes with Nut and 1 with Psych. I'm just really nervous on the whole Cigna insurance since I've seen people on here its taking them months to get approved.

From what I understand' date=' your doctor's office "opens the claim" to get the claim number. Then Cigna "requests the clinical information" and then it goes to medical review. I initially got some letter saying they needed more information, and that's how my coordinator explained it.[/quote']

Sounds like I am on the right track, then.

Cigna is a stickler for the details. I was denied on my first round because my 3 month span with the NUT was only 89 days and they wanted to see 90 (thanks feb for being 28 days.) I met with my NUT immediately, they resubmitted, and I was approved days later. I was sleeved 5/23

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Well I've almost done 3 months with my PCP. And will do 3 more months with the NUT, since I don't want to be sleeved until Sept since at my job its so busy right now. I'm a Vet Tech so the summers I do tons of overtime and more pets will be coming in now than in August and Sept when people are more concerned getting in the mode of getting kids back to school or college. .

Thank you all for these posts. I am currently in my 90day pre-op requirement phase with CIGNA. I was a little nervouse until I read your posts. I actually have an AWESOME team of individuals which includes a patient advocate who speaks to me regularly to confirm that I am doign exactly what the insurance company requires. A part of my program is to have someone else have to keep track of what the insurance company wants and to submit as soon as they have everything. As much as I appreciate my patient advocate, she is not a patient. Hearing from those of you who have been through this has given me a jolt of encouragement. Thank you again. Hoping for Surgery Mid Feb. My 90days will be up 1/26/14.....staying prayed up!

oops.

Edited January 10, 201412 yr by Ready2Live76

I have Cigna, and did a three-month "diet" and a few other tests. My meetings with the NUT weren't 30 days apart, but rather 3-4 weeks and always in a new calendar month. Initial visit in mid-August, 2nd mid-September, 3rd early October, 4th early November. Accidentally submitted to insurance early on Halloween, a few days before my final NUT visit, but they sent over the notes from that visit same-day as an attachment, and I had my approval within 36 hours (or within one week from the initial accidental submission). My start BMI was 41+, and I had none of the typically recognized co-morbidities. The hoops I had to jump through we're minimal compared to some requirements I've seen on here. Overall, MUCH easier than I thought it would be. I had surgery 12/03/13.