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Cigna OAP require 3 or 6 month for approval



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Thanks SparkleCat...I hate insurance also...hopefully everything will work out for the best for the both of us. :)

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I have Cigna. I have to complete 4 consecutive monthly visits. I started in January and just had my last appointment. It is now off to the insurance. My Dr said CIGNA usually doesn't take the 30 days to respond. Good luck!

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Very new to all of this, I have my first appt with the surgeon on the 24th. I am hoping to get the info I need for the diet so I can go back to my PCP with it. What does insurance want for the 3 month diet? My PCP will do what ever I need him to do. Do they just want documented weights for 3 months with documentation of dietary modification discussion? referral to dietitian? Do they require a certain amount of weight loss during that time?

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@@JacobsMommy it's very possible that your employer's specific Cigna plan requires 6 months while the standard Cigna plan, without modifications, requires 3. I have Cigna and I know the basic Cigna standard plan is 3 months, but my employer (Tennessee) modified the plan to require six months. So I had to do six months, and that was that. I got there eventually though, and I am sure you will too!

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I am officially approved for surgery this Tuesday! My surgeon's office had a peer to peer review and went over paperwork. My PCP had recomended surgery in January, so Cigna used that release and recomendation as a start date for my supervised diet...so I got the 89 days. It is now very real!

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That's awesome

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So far, Cigna isn't requiring me to pay those extra copay fees I've been hearing about; except for the normal $100 copay my insurance require for the hospital stay. Thank God!

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I have Cigna open access plus and they told me twice that in January they discarded the three months all together. Here I was excited enough to pee my pants and my surgeon office say Noway I had to do three anyway cause I was sure to be denied!! So I did three months and paperwork in at insurance now waiting for Approval!

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Luckyinluv, that's encouraging! I hope it goes through. Keep me posted :)

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Alright everyone, I submitted all of my paperwork today. The girl who gave me a big woop to doo did not put up a fight this time, in fact she said she's rooting for me. Then she dropped the bomb...Friday is her last day and the person taking her place is reluctant to submit paperwork. Pray!! I need a quick turn around before this new chick take over...smh always something

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Alright everyone, I submitted all of my paperwork today. The girl who gave me a big woop to doo did not put up a fight this time, in fact she said she's rooting for me. Then she dropped the bomb...Friday is her last day and the person taking her place is reluctant to submit paperwork. Pray!! I need a quick turn around before this new chick take over...smh always something

I feel for you. My surgeon and his medical staff were great but his insurance coordinator sucks and she has a tude. While it wax painful working with her it all worked out in the end and was approved by Cigna within 7 days.

Best of luck. ...

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Alright everyone, I submitted all of my paperwork today. The girl who gave me a big woop to doo did not put up a fight this time, in fact she said she's rooting for me. Then she dropped the bomb...Friday is her last day and the person taking her place is reluctant to submit paperwork. Pray!! I need a quick turn around before this new chick take over...smh always something

I had to giggle when I read this!!y insurance gal from the surgeons office is also leaving on maternity leave! You from Indiana by chance??

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I had to giggle when I read this!!y insurance gal from the surgeons office is also leaving on maternity leave! You from Indiana by chance??

LOL LOL I live Maryland. ..are you waiting for approval also? If so, I guess we'll both sit on pins and needles until we hear from someone.

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I feel for you. My surgeon and his medical staff were great but his insurance coordinator sucks and she has a tude. While it wax painful working with her it all worked out in the end and was approved by Cigna within 7 days.

Best of luck. ...

LOL LOL the struggle is real! SMH...but your news is pretty awesome! Congratulations! I sure hope my turn around time is that quick.

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

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        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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