Skip to content
View in the app

A better way to browse. Learn more.

BariatricPal

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.

Join BariatricPal free

  • Ask your own questions
  • Reply and follow topics
  • Message other members
  • No cost, no spam

Is It Possible To Get Approved Without A Supervised Weight Loss Program?

I was wondering if anyone has been approved without doing a supervised weight loss program.

I have Cigna which I thought always required some type of supervised weight loss program but my patient coordinator says that my self-insured Cigna Plan through my school district doesn’t require one. They do require that I have been employed with the district for 5 years and that the surgery be performed at a Cigna Center of Excellence. When I called Cigna they told me just the opposite that I needed to do a three-month program and that there was nothing about 5 years of employment.

I also checked with my benefits department as they said the same thing as my patient coordinator.

I was denied a few weeks ago because the hospital that my surgeon used was no longer a Cigna Center of Excellence. I found a new surgeon and a new hospital and jump through their new hoops and my file has been resubmitted.

Now I am really nervous that I will be denied again, because of the lack of a weight loss program. If I had knowed if would take so long for this process I would have done the 3 month supervised weight loss program just to be on the safe side.

  • Replies 9
  • Views 1.2k
  • Created
  • Last Reply

Featured Replies

Nope, I just had to have proof of obesity for a certain number of years....(weigh ins at my docs office were my proof). I did not have to show any history of diet attempts, etc. I was very very lucky :)

I was approved without the supervised weight loss program. I was totally shocked, but I have Aetna Medicare Advantage.

I have Federal BCBS and I am required to do the 3 month diet plan which I am doing now. I met with the Nutritionist and now I am just keeping a diary of what I am eating and each time I go to the doctor I will see the nutritionist. She told me it isn't required that I actually lose a lot of weight on the pre diet but I must show documentation of attempting to lose for 3 months. I was quite miffed at first but the time actually goes by rather quickly. My Surgeon told me it takes 3 months to get all the pre-surgery work done anyway so it's not really a big deal. Just do the diet and maybe you won't need it but if you do... you are on your way. Good luck to you.

  • Author

I wish that i had done that because i having been going through this process since August and it would have already been completed. Hopefully I will approved without it, I would hate to weight another 3 months because of misinformation.

  • Author

I got my approval from Cigna today without completeing a supervised weight loss program.

  • 2 weeks later...

Az, I 'm az too. I am retired/disabled school district. I have Mercy Care ssi/mao. I looked at their physician checklist and it is the typical 6 month wt nut exercise routine. I was planning tijuana but thought, "what the heck" and looked at mercy care. No way. So hello mexico.

Each Cigna plan had different requirements Mine required 6 months documented weight loss.

I honestly don't know. I have BCBS PPO in Illinois (and have had it for about 16 years) and while if they look back they will certainly see a number of medically supervised weight loss programs, I only had to self report. In any case, from the first appointment to approval was only about 2 months. I had to do two visits with a nutritionist and they had to be one month apart. So that was the only time constraint I really had. I was kind of blown away by how fast it all went, in the end, though that last one-two weeks of submission to approval seemed to drag along.

My insurance company said they required 6 months of a weight loss program (or 3 consective months of 2 different programs). I turned on my weight watchers card. I had 3 months in a row of weigh in stickers that I actually received from WW, then I wrote in my weights for the next 3 months on the card and added ''eTools'' beside it because I used the website a few times. Since I had my bank statement showing I had paid for WW each month for an entire year, my insurance company accepted it. I think what I did or perhaps using strictly eTools is the closest you can get to not having to do a weight loss program. call your insurance company to find out for sure

Archived

This topic is now archived and is closed to further replies.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.