Finally got letter of med necessity from PCP today. Shes been on vacation, completed the 3 month thing last week. I got all teary when I read ot, turned it in....last thing. Cigna denied me once already...did not think original.PCP letter was detailed enough (wasnt really, I had to advocate for myself to get the bulk of info the wanted to see included....wrote my own basically, Dr revised it). They also did not.accept 5 YEARS worth of weight, bmi, bp, fat% etc from a medically managed weight loss program that also used nutritional counseling, etc. In absence of food/diet/exercise documentation, they deemed it solely pharmacological. Didnt count. I was crushed, but glad it worked out this way.....totally believe in Gods timing. So.... Excited, nervous....emotional.... Trying to be patient , planning as if.... Please cross your fingers, pray, do whatever....I am so ready.for this change I can feel it deep down..... Thanks!!!!

I'm with Cigna as well and got denied the first time. They needed a medical clearance from my PCP and I didn't understand what that was to ask. Basically I had to go have a physical and blood work again from my PCP so they could say "Yes, she can handle and needs surgery." Just keep on going. You will eventually make it through all the right hoops.

Good luck!!!!! Keep us posted!