Waiting for approval - Cigna

[txgirl82 18]

I have completed all of my requirements for Cigna. Just wondering how long the approval process will take. Anyone have any issues with Cigna?

[Jensukisses 0]

Do you have just plain Cigna or what plan if zi may ask?

[txgirl82 18]

I have Cigna Open Access Plan. Have you had surgery or are you preop?

[Jensukisses 0]

Pre op but I'm on cigna medicare

[Jersrose43 837]

Here is Cigna policy for you

https://cignaforhcp.cigna.com/public/content/pdf/coveragePolicies/medical/mm_0051_coveragepositioncriteria_bariatric_surgery.pdf

[Jensukisses 0]

Thanks

[amp2014 8]

I have Cigna OAP also and had no problems at all. Of course I didn't have to deal with them personally my doctors office dealt with them. But I did receive a cc copy of my surgery acceptance letter just the other day and my surgery is Oct 7. Good luck to you on your journey.

[DaiDai 31]

@@amp2014 how long did the approval process with Cigna take?

[txgirl82 18]

My stuff was submitted last Monday and I was told it could take 30 days not really sure why. I've seen other people post they had approvals within 5 days.

[resipsa89 28]

I've heard that if you're doing an inpatient procedure, Cigna's policy is that they have to make a decision within 5 business days. If you're doing outpatient, it is 30 days. That is just what i've read on this message board, so it could be incorrect! If I were you, I would be calling them every day to see what the status is!

PS Good luck! I feel like Cigna has gotten better at approving these surgeries, so I think you will be fine! I submit my stuff to Cigna on Thursday so fingers crossed for both of us!

Edited September 30, 2014 by resipsa89

[amp2014 8]

Daidai I honestly don't know how long. I started the process at the end of June and went through my 3 months of required visits with dietitians and behavioral aids. My drs office I assume submitted the request to Cigna and it's probably been a month now that I actually saw paperwork that I am approved for surgery on the 7th. I know someone who also has Cigna and has had the surgery and no problems being accepted. I hope you don't have any issues! I met with my surgeon today and did my final bloodwork and pre registered for surgery I can't wait ) !!

[txgirl82 18]

@@resipsa89 I spoke with someone from Cigna yesterday and they said it was sent in as inpatient procedure. I've read the same things on the message boards. I was thinking about calling again on Friday. Good Luck to you as well. ☺

[Karen Chambers 1]

Hi,

My Patient Advocate submitted my paperwork to Cigna last week and I received a call on yesterday saying I was approved.

I hope this helps.

Karen

[Luvin_Life125 558]

I have Cigna OAP too and they allow 5 business days to process an inpatient precertification. Make sure you follow up with Cigna and good luck!

[DeeSleeved427 7]

Loving this thread! Last 6 month visit for me is 10/17, hoping to have early nov surgery date. Wish my surgeons office would give me a tentative date, as all my lab stuff will expire on 11/22 (since I started in May)