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?

Have you heard anything back from Cigna? I have cigna also and just curious if you got approved. Good luck!

I called friday around 4pm and they told me that my file has been sent to the medical director for review and i should know something by Monday(today) around noon. Cross your fingers. How far are you in the process?

I called friday around 4pm and they told me that my file has been sent to the medical director for review and i should know something by Monday(today) around noon. Cross your fingers. How far are you in the process?

*Fingers crossed*

I have had my psych eval, 3 medically supervised diet appointments, and I've met with the nutritionist. Now I just need my letter for medical necessity and one more seminar through the surgery center/hospital and then I will be submitting all of it to Cigna for approval.

So I got the phone call today. I got denied. They told me that my packet lacked one piece of information that was necessary. Even tho my PCP wrote a letter of approval and stated it was medically necessary, she didnt write a letter that stated I was "Cleared for Surgery". So I will have to appeal. It's upsetting that this isn't even a requirement on my plan. But no stressing...

So I got the phone call today. I got denied. They told me that my packet lacked one piece of information that was necessary. Even tho my PCP wrote a letter of approval and stated it was medically necessary, she didnt write a letter that stated I was "Cleared for Surgery". So I will have to appeal. It's upsetting that this isn't even a requirement on my plan. But no stressing.

Oh no that terrible! Hopefully it is an easy fix and you'll be back on schedule to start your new life!

Good luck and keep us posted!

So I got the phone call today. I got denied. They told me that my packet lacked one piece of information that was necessary. Even tho my PCP wrote a letter of approval and stated it was medically necessary' date=' she didnt write a letter that stated I was "Cleared for Surgery". So I will have to appeal. It's upsetting that this isn't even a requirement on my plan. But no stressing...[/quote']

So I have cigna too. The same thing happened to me, it took 3 times before they approved. Just have your surgeons office resubmit everything again including the letter stating you are cleared for surgery and then you should be approved. No need for an appeal yet! You really have to stay on them. Hope this helps. Good luck!!!

The same happened to me with Cigna. I had to go get a surgical clearance from my PCP, which was basically like a physical with some blood drawn. And that did the trick. Good luck to you!

So I got the phone call today. I got denied. They told me that my packet lacked one piece of information that was necessary. Even tho my PCP wrote a letter of approval and stated it was medically necessary' date=' she didnt write a letter that stated I was "Cleared for Surgery". So I will have to appeal. It's upsetting that this isn't even a requirement on my plan. But no stressing...[/quote']

Fingers crossed it all comes thru next time.

I believe a letter of clearance from your PCP is a standard requirement for virtually all surgeries. Your surgeon's office staff was to blame for not making sure it was included in the application they submitted. They know better than to send an app without one.

You'll have to stay on top of the staff there to make sure the situation is quickly rectified and you have confirmation of approval. Take very good notes of any conversations in case things go sideways. Hopefully, you will join us on the loser's bench soon!

I believe a letter of clearance from your PCP is a standard requirement for virtually all surgeries. Your surgeon's office staff was to blame for not making sure it was included in the application they submitted. They know better than to send an app without one. You'll have to stay on top of the staff there to make sure the situation is quickly rectified and you have confirmation of approval. Take very good notes of any conversations in case things go sideways. Hopefully' date=' you will join us on the loser's bench soon![/quote'] I have been told that from many people now that I have been denied. Sucks that I didn't know that before. I called the surgeons office and the staff stated that it was an oversight like you said. To be honest, I'm kinda pissed.

Fingers crossed it all comes thru next time.

thanks. Rlm34 and good luck to you too bloreorbust