Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Why would Cigna deny me?



Recommended Posts

Mine says

To whom it may concern,

I saw Kathleen most recently on April 1. She came in to discuss Wt loss and barbaric surgery. I have approved and medically cleared Kathleen for surgery. She is here by recommended for this surgery. For details regarding this visit please see my notes from that visit.

He attached notes for all Wt loss from Jan 2013 I'm

Share this post


Link to post
Share on other sites

Mine says

To whom it may concern,

I saw Kathleen most recently on April 1. She came in to discuss Wt loss and barbaric surgery. I have approved and medically cleared Kathleen for surgery. She is here by recommended for this surgery. For details regarding this visit please see my notes from that visit.

He attached notes for all Wt loss from Jan 2013 I'm

Barbaric surgery, haha! Thanks for the needed laugh today. It is rather barbaric when you think of it! ;)

Share this post


Link to post
Share on other sites

Doesn't it bother you that your insurance coordinator failed to submit two of the biggest requirements that CIGNA has? And not just CIGNA, but I think most insurance companies require the PCP letter and psych eval. I just don't understand how that happens.

Share this post


Link to post
Share on other sites

Yes I can't believe she dropped the ball! And to think I had 2 pay $250.00 just to participate in the program! I called Cigna today and they confirmed that they received it! Now 5-7 more days to bite my nails!

Share this post


Link to post
Share on other sites

Wow, I'm amazed at all the number of denials. I had my last required nutrition appointment last Thursday and received a call from my insurance on Saturday about my hospitalization stay then just yesterday a rep called me to inform that my surgery was approved by BCBS!

I have zero co-morbidities and started with BMI of 40 which is now around 38.9. Shocked and a bit nervous about how easy it all was for me. Met with my surgeon at the end of August -- diligently requested/completed blood work, psyc eval, 3 nut appts, pcp note, venous doppler, and nasal endoscopy. I was never asked to complete an EKG though. i received my official approval on Monday oct 28, just over 2 months time from meeting with my surgeon for the 1st time. Hoping for an early December surg date.

Hope everyone else is blessed with speedy approvals too!

Share this post


Link to post
Share on other sites

Barbaric surgery' date=' haha! Thanks for the needed laugh today. It is rather barbaric when you think of it! ;)[/quote']

I'm learning to slide...lol creative spell check lol it is a like barbaric lol

Share this post


Link to post
Share on other sites

Congrats! I am still waiting on Cigna.

Share this post


Link to post
Share on other sites

I GOT MY APPROVAL TODAY! !!

Great!!! Can't wait to see you on the loser's bench.

Share this post


Link to post
Share on other sites

I GOT MY APPROVAL TODAY! !!

Congrats!!!

Share this post


Link to post
Share on other sites

I have! Hopefully I will hear something tomorrow.

Share this post


Link to post
Share on other sites

Call them!

How did you find out about your approval?

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×