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So close i can taste it (Cigna)



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They received my information last Tuesday. It has been through a couple of phases, they say it takes 5 business days, but today I got told Thursday or Friday... The waiting is just getting so tough now that I'm so close to a surgery date. I know, I'm a whiner ;)

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It will happen, they will notify and the worst is that they will decline and your surgeon will appeal it and get an approval on it. Yes this is totally anxiety provoking too...... :)

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It will happen' date=' they will notify and the worst is that they will decline and your surgeon will appeal it and get an approval on it. Yes this is totally anxiety provoking too...... :) [/quote']

They won't have a chance to notify, I call daily ;)

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They won't have a chance to notify, I call daily ;)

I also have Cigna and called every day. I got my yes on 3 days after they said the got the paper work.

Good Luck

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I got my approval from Cigna in under a week. Good luck!

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Try not to bug them. Keep busy and stay positive. You may end up irritating the very person who makes the decision.

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Hhhhh, still pending in medical review... Today or tomorrow they tell me. I can wait ;)

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I called again today, and they told me tonight or tomorrow... I'm so proud of myself I did not call again tonight ;) once a day is my limit... Until next week ;)

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Well, I was denied by my insurance...

I called my insurance company today and I was told my prior-authorization was denied. They apparently did not receive the separate evaluation from a different physician recommending for bariatric surgery and approval for surgery. I had an appointment for that specifically on the 24th of May, and it was sent over to my Surgeon's Office on the 28th of May (and they confirmed receipt).

I SHOULD have asked if there were any other reasons for the denial, but I'll probably ask on another day.

I've emailed my insurance coordinator at my Surgeon's office to see if she has any more clarification she can offer, and she did state that she sent the information with the initial prior-authorization, so she has faxed it again twice today.

I guess I'll call again tomorrow to confirm they received her fax, and to see if there were any other reasons for the denial.

Ahh well, there is always an appeal.

Does anyone think I should maybe go to a supervisor, or is that going to do me more harm than good?

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Ahhh Cigna, fight it. My husband was denied by Cinga last week. We fought it tooth and nail, saw the dietitian again. Made the Primary Care Physician write "Cleared and Recommended for surgery" also has the physiologist write "unequivocally cleared for surgery." Follow the verbiage in the requirements to the T. Paperwork was submitted Tuesday and he was approved this morning. His surgery is scheduled for Monday. My paperwork will be submitted next week, so I'm sure I'll be in the same boat. Message me for any info.

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I'll fight it, it is just kind of a let down. I'm going to get more specifics tomorrow, and my insurance coordinator is on the ball also...

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Just submit what they want. No need to "fight" anything at this point. They have very specific requirements, so make sure all paperwork is sent in. Same thing happened to me. Once paperwork was submitted it took about a week for approval.

The positive thing is that they didn't deny you or a medical reason--that's where the fight comes in! Good luck!

Sent from my iPad using VST

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Uhh, :( should be Thursday at this point (per the Customer Service Rep)...

I guess I'll keep at it 'till then.

Then the testing, and assuming that all turns out ok, then we have the surgery...

Still hoping for the middle of July, but I guess we'll see.

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Uhh' date=' :( should be Thursday at this point (per the Customer Service Rep)...

I guess I'll keep at it 'till then.

Then the testing, and assuming that all turns out ok, then we have the surgery...

Still hoping for the middle of July, but I guess we'll see.[/quote']

Don't lose hope! Just keep playing the game and give them exactly what they want. Good luck!

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Don't lose hope! Just keep playing the game and give them exactly what they want. Good luck!

I'm not losing hope, just whining ;)

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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.

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      Officially here for a long time, not just a good time💪
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