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Why would Cigna deny me?

I just found out today that Cigna denied me. My BMI is 47 and I met all of the requirements and my insurance includes bariatric surgery!!!! Of course it's the weekend so I cant call my surgeon's office. Talk about a big let down!!! How can they deny me? ???

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  • I GOT MY APPROVAL TODAY! !!

  • There are soo many micro things that it can be denied for. Simple wording, 90 days wt monitoring, if 1 month of that isn't a full 30 days in between visits. Denial Your PCP release for surgery must

  • denicedowns
    denicedowns

    I had to get my surgeon to do a peer to peer consultation with the Cigna Doctor. Took a 2 weeks to get it done, but I was approved after they talked. Good luck.

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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! ;)

  • Author

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.

  • Author

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!

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!

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

Congrats! I am still waiting on Cigna.

I GOT MY APPROVAL TODAY! !!

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

I GOT MY APPROVAL TODAY! !!

Congrats!!!

  • Author

Congrats! I am still waiting on Cigna.

Call them!

I have! Hopefully I will hear something tomorrow.

Call them!

How did you find out about your approval?
  • Author

I know how u feel! Fingers and toes crossed for you!

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