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frightened

So this is Month #3 in my supervised diet. After this I file for insurance. The first month I lost 5 lbs. The second month I gained 4. This month I gained 2. My appointment is this morning. I have taken a laxative out of desperation and plan on wearing a tee shirt and gym shorts. :( I feel like a failure. Will insurance deny me?

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So this is Month #3 in my supervised diet. After this I file for insurance. The first month I lost 5 lbs. The second month I gained 4. This month I gained 2. My appointment is this morning. I have taken a laxative out of desperation and plan on wearing a tee shirt and gym shorts. :( I feel like a failure. Will insurance deny me?

How much are u required to loss ?

Insurance could and could not deny you. It's all up to the surgeon to fight for you & let them know you are putting your part. I was on a 30 day diet with no number to lose but in those 30 days I lost 15lbs and was proud of my self. I was on two shakes 1 meal 1 snack for 28 days then 2 days liquid diet. Started at 211 lbs and on surgery day weight 197 lbs :)

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There is no certain amount of weight that I have to lose. I was doing the 3 month diet based on Cigna requirements.

There is no certain amount of weight that I have to lose. I was doing the 3 month diet based on Cigna requirements.

If they didnt require u lose a certain amount then im sure ur fine ..thats the whole point of surgery because other diets didnt work..hang in there I think u will be fine..definitely let us know how ur appointment goes today.

I think they want you to lose 5-10% of your body wt...to see if you can adhere to the diet after surgery....

Cigna has the requirement of either 3 months supervised weightloss or 10% total body weight loss. I was warned by my surgeon's office very strictly that I could not gain weight during this time. Stay the same or lose. I'm sorry to say you may have a hard time with insurance. It might be worth trying this again for 3 months to start that part over.

It also depends in which Cigna plan....requirements vary significantly from plan to plan....don't freak yet! Good luck!!!

  • Author

With my plan it states that I have to have a supervised 3 month diet. That is all the info that was given to me. No one ever said I should lose a certain amount. Has anyone ever been turned down for nit losing during the 3 month diet

So this is Month #3 in my supervised diet. After this I file for insurance. The first month I lost 5 lbs. The second month I gained 4. This month I gained 2. My appointment is this morning. I have taken a laxative out of desperation and plan on wearing a tee shirt and gym shorts. :( I feel like a failure. Will insurance deny me?

My understanding is you can't weigh more than your starting weight. So it looks like your only a pound over. I wouldn't sweat it. Good luck!

I have Cigna, I was told at my first appointment after the seminar that I had to lose between 8-13 pounds in my 3 month diet in order to get approval from Cigna. I lost 17 pounds and now waiting for approval. Good luck to you

I have Cigna and gained as well. My surgeon's office said that some insurances will deny you if you gain but that Cigna is not known to deny for weight gain.

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I think they want you to lose 5-10% of your body wt...to see if you can adhere to the diet after surgery....

Vicki the Cigna policy I have doesn't require that you lose 5%. I have an employee who has the same insurance and did not lose and was approved. It depends on the policy. Since the OP said they weren't required to lose then they don't have to lose 5%.

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Cigna has the requirement of either 3 months supervised weightloss or 10% total body weight loss. I was warned by my surgeon's office very strictly that I could not gain weight during this time. Stay the same or lose. I'm sorry to say you may have a hard time with insurance. It might be worth trying this again for 3 months to start that part over.

I too was told by my surgeon's office not to gain, to stay the same or lose. I specifically asked if this is for insurance and they said NO, they said your surgery outcome is better if you don't gain. As I mentioned before MY CIGNA INSURANCE doesn't require that you lose and doesn't give you a choice between 3 months supervised weight AND exercise or 10% weight loss. They require the 3 months period. I would suggest talking directly to Cigna insurance because you'll get all kinds of answers on these forums that are inaccurate and drive yourself crazy.

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It also depends in which Cigna plan....requirements vary significantly from plan to plan....don't freak yet! Good luck!!!

EXACTLY!!!!!!!

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My surgeon let us all know in orientation he will not perform surgery if you gain weight but he doesn't require weight loss. If the requirement to lose weight is based solely on insurance, you definitely should contact your insurance company. It might give the chance to make a connection with a case worker or nurse coordinator. I called my insurance to ask a bunch of questions and I ended up with a case manager. She calls me every couple of weeks and we talk about diet, activity, stress and whatever else comes up. She is also in touch with surgeons office and plans to make her own recommendation when the paperwork is submitted. I'm praying for a quick approval. :-) Good luck!

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