Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🌈 "1 per Day!" Bariatric Multivitamins

Cigna OAP require 3 or 6 month for approval

JacobsMommy

By JacobsMommy, in Insurance & Financing

Recommended Posts

JacobsMommy    27

JacobsMommy
Posted

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

Share this post

Link to post
Share on other sites

Stacilyn    7

Stacilyn
Posted

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!

Share this post

Link to post
Share on other sites

Gettinsmall    18

Gettinsmall
Posted

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?

Share this post

Link to post
Share on other sites

Bufflehead    6,358

Bufflehead
Posted

@@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!

Share this post

Link to post
Share on other sites

SparkleCat    521

SparkleCat
Posted

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!

star21nd reacted to this

Share this post

Link to post
Share on other sites

Jersrose43    837

Jersrose43
Posted

That's awesome

Share this post

Link to post
Share on other sites

JacobsMommy    27

JacobsMommy
Posted

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!

Share this post

Link to post
Share on other sites

Luckyinluv    30

Luckyinluv
Posted

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!

JacobsMommy reacted to this

Share this post

Link to post
Share on other sites

JacobsMommy    27

JacobsMommy
Posted

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

Share this post

Link to post
Share on other sites

JacobsMommy    27

JacobsMommy
Posted

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

Share this post

Link to post
Share on other sites

Andrew0929    1,101

Andrew0929
Posted

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. ...

JacobsMommy reacted to this

Share this post

Link to post
Share on other sites

Luckyinluv    30

Luckyinluv
Posted

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??

Share this post

Link to post
Share on other sites

JacobsMommy    27

JacobsMommy
Posted

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.

Share this post

Link to post
Share on other sites

JacobsMommy    27

JacobsMommy
Posted

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.

Andrew0929 reacted to this

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
Go To Topic Listing Insurance & Financing

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.
    • Onedayatatime365

      Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
      · 0 replies
      1. This update has no replies.
    • jparadigm

      jparadigm

      Happy Wednesday!
       
      I hope everyone is having a lovely week so far! 
      It's been a bit of a struggle this last week...I'm hungry ALL the time.
      · 1 reply
      1. BlondePatriotInCDA

        BlondePatriotInCDA

        Have a great Wednesday too! Sorry you're hungry all the time, I'm pretty much the same..and I'm sick of eating the same food all the time.

    • ChunkCat

      ChunkCat

      Well, tomorrow I go in for an impromptu hiatal hernia repair after ending up in the ER over the weekend because I couldn't get food down and water was moving at a trickle... I've been having these symptoms on and off for a few weeks but Sunday was the worst by far and came with chest pain and trouble breathing. The ER PA thinks it is just esophagitis and that the surgeon and radiologist are wrong. But the bariatric surgeon swears it is a hernia, possibly a sliding one based on my symptoms. So he fit me into his schedule this week to repair it! I hope he's right and this sorts it out. He's going to do a scope afterwards to be sure there is nothing wrong with the esophagus. Here's hoping it all goes well!!
      · 4 replies
      1. AmberFL

        AmberFL

        omgsh!! Hope all goes well!! Keeping you in my thoughts!

      2. gracesmommy2

        gracesmommy2

        Hope you’re doing well!

      3. NickelChip

        NickelChip

        I hope it goes well! Sending positive thoughts for a speedy recovery!

      4. AmberFL

        AmberFL

        How are you doing? any update?!

  • 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

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×