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Cigna gone crazy?

My coverage with Cigna indicates that I only need to do the weight loss management program with my PCP for a minimum of 3 months. My surgeon's office submitted my paperwork to Cigna last month and they denied me on the fact that I supposedly only did 2 months of doctor supervised weight management. Here is the kicker... I actually did 5 months as I thought it required 6 months instead of the three. I am so frustrated right now about this because it's just stupid! My surgeon's office thinks we have a new person in Cigna and that they are counting the first visit as the "initial visit" which then means you have to go 4 months instead of 3. Of course in my situation that shouldn't matter as I went 5. What really frustrates me is the only good time I have to do the surgery is in August, otherwise other people are going to have to adjust their schedules for me to miss work. Hoping that this gets resolved quickly so we can still be on schedule.

All I can say is GRRRRR

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Congrats! We even have the same surgery date :)

Thank you! Yaaaay! lets keep in touch!

Finally received my approval from Cigna today. Can't believe it's real.

Me too! Yeeha! how long did it take to get yours? With regards to the 90 day rule.......they did not adhere to it.....but perhaps because I started the process before May 15th (?).......I only had 59 days with the NUT.......anyway, good luck to everyone!

Did everyone have multiple visits with the nutritionist? My doctor's office said I only need one.

You'd have to check your policy (call up your ins. co. and ask what is required)....I had the 3 visit requirement....some folks have 6......good luck!

Thanks! My info was submitted to Cigna on Tues so I am hoping for an approval! :)

Did everyone have multiple visits with the nutritionist? My doctor's office said I only need one.

i only had one

Thanks! My info was submitted to Cigna on Tues so I am hoping for an approval! :)

GOOD LUCK!!

My final ppwk was submitted to Cigna on June 28th. I got the approval on July 16th. I was hoping to get a July surgery date, but ces` la vie! I'm on for August 20th. Good luck everyone!!

GOOD LUCK!!

You too!

You too!

thanks so much!! :):D

Hi everyone! I was approved!

1st appt - April 22nd

Last appt - July 15th

Submitted to insurance - July 16th

Approved - July 22nd

Surgery date - July 30th

My paperwork was sent in the 26th of June' date=' they supposedly wrote the denial on the 4th of July, so pretty quick. I just hope the appeal is as quick.[/quote']

They denied me the next day but I had another insurance to cover the surgery cost. Post op 2 days

This is slightly dated, but I too was urgently waiting my approval due to a limited surgery schedule. I explained that I would have to wait until December should I not get the dates I was shooting for and the surgeons office "penciled" me in. I received my approval and they set the date for sure. I ended up with a date 2 weeks later than I really wanted, Silly surgeon took a 3 week vacation. I'm his first when he gets home.

I have cigna as well. in which i had to do the 4 weight management visits. and it only took a week to get my approval!! good luck ladies ...i just kept calling my dr office every few days until i got an answer!!

I have cigna as well and they told me that I only have to do three visits to my pcp for weight management. I completed my first one in June and I go in for my next one tomorrow. Does that mean I should do two more? I'm so nervous I just want this so so bad....

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