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I've been trying desperately to get approved by Cigna since April! I cannot tell you how difficult Cigna has been! I've done several medically supervised WL programs but not in the past 6 months! So, I finally get down to the one thing they say I'm lacking and that's 90 days with a nutritionist to go over diet and exercise! After our first visit, they said the notes made no mention of exercise so that one won't count! Well, I had just gotten out of a boot that week from a torn ligament in my ankle! The very next weekend, I ruptured a disc in my Lower back. I've been out 2 weeks on my back and just had surgery so I will be out another 2 weeks in recovery! I have a bmi of 41 and 2 co-morbidities! What more do they need?