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Cigna Insurance

  • Replies 104
  • Views 9.7k
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  • waitingtoexhale
    waitingtoexhale

    I received a call today 8/26/14 informing that my VSG procedure was approved on Friday 8/22/14!! the insurance rep also stated that I have approval for the RNY too!!! Now I'm waiting on the call for

  • So I just wanted to update my process. I saw my Ob Gyn and he wrote that letter for me. Also today I got a letter form Cigna that they request more informations . I have to call the office tomorrow an

  • Jersrose43
    Jersrose43

    Actually all gastric sleeve requires a medical director to review it. Nurses and "regular" people aren't allowed to make decisions regarding medical necessity. Must be a doc Does that make sense?

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Awesome! I can only imagine how excited you must be! Congratulations !!!

That is awesome!! Congrats!!

Woo Hoo!

Congrats! I hope my Cigna approval happens that quickly.

Congratulations on your quick approval. What I found out about Cigna is that the approval timeframe depends on 1. your specific plan 2. The hospital in which you will have the surgery 3. Whether your procedure is listed as in house our outpatient.

I did not know any of this in the beginning but learned throughout the process. I had to wait the full 30 days only to be told I was not approved. I found out if your procedure is going to require an overnight stay then the approval process is 5 days and receives priority consideration. My insurance coordinator told me that my hospital required all procedures to be listed as outpatient with 23 hours of observation (so an overnight stay is possibly included) but the process took the full 30. I even called the morning of the 30th day to see if I was approved and they told me that they would let me know at the end of the day. At 4:30 that afternoon I was denied, I appealed and won my appeal in about 15 days so don't be afraid to push back on Cigna if denied. They told me I was missing two letters which were in the file. It's a frustrating process but worth it for the reward of getting approval.

I'm glad to hear that you got such a fast approval and wish you the best of luck and success with your surgery.

My surgery date is 7/14 too, and I have Cigna. I am still waiting for my approval, but my doctor's office told me not to worry about it. They are confident that it will be approved. I will rest easier I when the approval comes through.

  • Author

Congratulations on your quick approval. What I found out about Cigna is that the approval timeframe depends on 1. your specific plan 2. The hospital in which you will have the surgery 3. Whether your procedure is listed as in house our outpatient.

I did not know any of this in the beginning but learned throughout the process. I had to wait the full 30 days only to be told I was not approved. I found out if your procedure is going to require an overnight stay then the approval process is 5 days and receives priority consideration. My insurance coordinator told me that my hospital required all procedures to be listed as outpatient with 23 hours of observation (so an overnight stay is possibly included) but the process took the full 30. I even called the morning of the 30th day to see if I was approved and they told me that they would let me know at the end of the day. At 4:30 that afternoon I was denied, I appealed and won my appeal in about 15 days so don't be afraid to push back on Cigna if denied. They told me I was missing two letters which were in the file. It's a frustrating process but worth it for the reward of getting approval.

I'm glad to hear that you got such a fast approval and wish you the best of luck and success with your surgery.

  • Author

Congratulations on your quick approval. What I found out about Cigna is that the approval timeframe depends on 1. your specific plan 2. The hospital in which you will have the surgery 3. Whether your procedure is listed as in house our outpatient.

I did not know any of this in the beginning but learned throughout the process. I had to wait the full 30 days only to be told I was not approved. I found out if your procedure is going to require an overnight stay then the approval process is 5 days and receives priority consideration. My insurance coordinator told me that my hospital required all procedures to be listed as outpatient with 23 hours of observation (so an overnight stay is possibly included) but the process took the full 30. I even called the morning of the 30th day to see if I was approved and they told me that they would let me know at the end of the day. At 4:30 that afternoon I was denied, I appealed and won my appeal in about 15 days so don't be afraid to push back on Cigna if denied. They told me I was missing two letters which were in the file. It's a frustrating process but worth it for the reward of getting approval.

I'm glad to hear that you got such a fast approval and wish you the best of luck and success with your surgery.

I know you are glad the process is over.... now waiting on our survey date... Congratulations!!!

  • Author

My surgery date is 7/14 too, and I have Cigna. I am still waiting for my approval, but my doctor's office told me not to worry about it. They are confident that it will be approved. I will rest easier I when the approval comes through.

Hopefully it will be soon....

I got the approval today, just in time for my surgery Monday!

I have CIGNA too it was a little hairy at 1st but I got through. My surgery is 07/24. Good luck!!

Hi.... My surgery is scheduled on 7/24 and I'm waiting for approval from Cigna. I'm very nervous that I will not get the approval... How long did it take to get approval. I'm on my pre op diet right now and it would be sad to go through all this and not get to the grand finale.... Gastric sleeve

Hi.... My surgery is scheduled on 7/24 and I'm waiting for approval from Cigna. I'm very nervous that I will not get the approval... How long did it take to get approval. I'm on my pre op diet right now and it would be sad to go through all this and not get to the grand finale.... Gastric sleeve

My initial decision was the band and I was approved for it within days. However, I switched to the VSG and that took a little longer....only because all the paperwork wasn't together. Plus my primary care doctor's assistant decided to play doctor and decide that my doctor would not provide the clearance letter needed for pre-approval. So it took about a month. I would encourage you to follow up did you get anything from CIGNA yet? Call CIGNA? Call the surgical coordinator etc. when was your paperwork submitted? I think once all the paperwork is in place approval doesn't take that long. Good luck!!!

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