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Band to Sleeve with Cigna

Does anyone have Cigna that went from the band to the sleeve? If so, how long did the approval take and what was your BMI? I'm worried because I gained most of my weight back but I don't have any medical issues like diabetes or high blood pressure and my BMI is a 39.1 instead of the 40 requirement. My surgeon want to do the revision - we are getting ready to submit the paperwork.

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I have Cigna insurance and I submitted for a revision and within 2 weeks I was approved with a surgery date of December 5th. My surgeon told me I would have no problems with approval because she has documentation for several months of follow up with her that the band was causing me problems and gaining weight. This process was so quick for me it has been overwhelming. My surgeon really went the extra step to get me approved (I'm sure she likes the money she get paid so that's why she did it not because I'm special by any means) but I would really evaluate your surgeon to make sure he or she is doing all they can for you. And good luck. I hope it works out for you.

  • 4 weeks later...
  • Author

I've completed the 90 day requirement!! Keeping my fingers crossed. My paperwork will be eligible to be sent in 1/6. Did the 3 monthly nutritionist meetings, got the psyc evaluation and surgeon & PCP approval. Also attended 2 support group meetings!! Now the wait begins.....

  • 4 weeks later...
  • Author

Now I'm worried!!! The surgeon sent in my paperwork to Cigna and they sent a letter that they want more info - AND - they mentioned about me qualifying for an outpatient procedure. There is no way I can be "outpatient" - with the original surgery I had to stay overnight because I was too sick to go home the same day -

With revision - the surgeon said to expect 2 days.

I'm hoping that I don't have to go through the appeal process. I've done everything they required!! So upset :(

  • Author

I got approved!! My date is 2/4. Now the wait begins!!

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