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Cigna Insurance

woozybaby27

By woozybaby27, in Insurance & Financing

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lucclu81    21

lucclu81
Posted

Oh wow that was quick!! I haven't had my 1st check up yet.....I couldn't get an appt until next Wednesday...so the drain is still in!! That sucks for me but yayyy for you!! Great job on the weightloss...yup I gotta mk these shakes work. I found an Isopure flavor I can tolerate pineapple/orange/banana but I still don't hv the energy to drink it...

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waitingtoexhale    174

waitingtoexhale
Posted

I have NALC under CIGNA PPO. I've completed all of the necessary steps to get my sleeve. My doctor submitted all of my papers on 7/21/14 and as of yet, we haven't heard anything. I called Cigna and was told that they have 30 days to review but geesh, do they really take 30 days?! Does anyone here have NALC health insurance under Cigna ppo?

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Jersrose43    837

Jersrose43
Posted

I have NALC under CIGNA PPO. I've completed all of the necessary steps to get my sleeve. My doctor submitted all of my papers on 7/21/14 and as of yet, we haven't heard anything. I called Cigna and was told that they have 30 days to review but geesh, do they really take 30 days?! Does anyone here have NALC health insurance under Cigna ppo?

They usually take less but have to tell you 30. Also the Nalc reviews some of these directly which is part of reason takes Longer.

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waitingtoexhale    174

waitingtoexhale
Posted

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 surgery DATE

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bigmommah    0

bigmommah
Posted

I am excited for you to have gotten your approval!

I am getting extremely frustrated. I was denied(within their 5 day limit), they said because I was missing a second physician referral....which they DID already have. Then I just received a denial(on the 30th day, at 4:40pm after calling earlier that morning and asking about it they told me to call back later that afternoon) on my 1st appeal, because they said I am missing a physical exam, which they DO have! So, much surgeons office is filing a second level appeal today. I was told that this level of appeal has to be resolved within 15 days. So, keeping my fingers crossed and my faith up!!!

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Jersrose43    837

Jersrose43
Posted

I am excited for you to have gotten your approval! I am getting extremely frustrated. I was denied(within their 5 day limit), they said because I was missing a second physician referral....which they DID already have. Then I just received a denial(on the 30th day, at 4:40pm after calling earlier that morning and asking about it they told me to call back later that afternoon) on my 1st appeal, because they said I am missing a physical exam, which they DO have! So, much surgeons office is filing a second level appeal today. I was told that this level of appeal has to be resolved within 15 days. So, keeping my fingers crossed and my faith up!!!

Stop sending appeals. They only allow 1

Have the surgeon office call and request a peer to peer review. That is when clinical staff talk to clinical staff.

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vsgchick    118

vsgchick
Posted

I got my Cigna approval today! It took a week. October is wedding month, so I scheduled surgery for November 20.

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waitingtoexhale    174

waitingtoexhale
Posted

I got my Cigna approval today! It took a week. October is wedding month, so I scheduled surgery for November 20.

Congratulations @@vsgchick

I finally got approved and my surgery is scheduled for September 26! I'm excited for the both of us! Congratulations on your wedding too!

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vsgchick    118

vsgchick
Posted

Thank you! Congrats to you too. Very excited about our journey! :)

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friejenn    42

friejenn
Posted

So anybody else had problems with approval first go around? Cigna wanted more notes from NUT and I had to ask my PCP to write a more specific medical necessity letter. I am 5'6" and 248lb, BMI is 40.06. What do you guys think ?

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waitingtoexhale    174

waitingtoexhale
Posted

So anybody else had problems with approval first go around? Cigna wanted more notes from NUT and I had to ask my PCP to write a more specific medical necessity letter. I am 5'6" and 248lb, BMI is 40.06. What do you guys think ?

If you have other doctors such as therapist for knees, back, ect. They can write a medical necessity letter.

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LSF    264

LSF
Posted

I got my Cigna approval today! It took a week. October is wedding month, so I scheduled surgery for November 20.

. Did you have to wait long when you started the process for approval?

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Go To Topic Listing Insurance & Financing

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    • LeighaTR

      LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 1 reply
      1. Selina333

        Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

    • Alisa_S

      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. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      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

        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.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

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

    • CaseyP1011

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.

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