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Awaiting approval - Cigna



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Well yesterday, Monday October 20th, my surgery center sent all of my paperwork in!!!! I am nervous and excited at the same time. But the 'what if's' are cluttering up my brain. What if I did too well on my Dr supervised died and they say no? What if they say yes?.... Since I began this journey I have been extremely cautious in how excited I am towards where I could be in a year with the surgery so if I am one of the unlucky who get denied I won't be too upset, yet if they approve... Oh my goodness where could I be with my health in just a few short months!

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Welcome to the " Holy crap WHAT IF club" I am the current President LOL! All those things you mentioned have gone through my mind too. I am waiting on approval too. I, like you, wonder what my body will be in a year!

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I am also waiting for approval! Good Luck to you both!

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@Jackbult, I love that term: Holy Crap What If Club! You should look into having that trademarked. I think I crashed your membership, hope you don't mind. :-). Even though my surgery is many months away I often find my mind wandering into the what if future. It's a very nice place to take up residence, dreaming of how much our lives are going to change for the better!

I have faith @@mom of 2 poodles that your approval is already in hand! You too @@LisaLou30 Congratulations!

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Cigna denied my surgery 3 times until i went all the way up to the appeal board the highest one. I summited a complaint with the insurance board nj. I harass them in face book lol! To the point i got a wonderful health advocate and when the dr and i thought it was going to be denied, i got the approval!! Don't give up ! Cigna is known to denied these surgery ! Complaint send letter to whoever is willing to hear.

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I got approved by Cigna in less than a week...good luck to you!

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Holy Crap What If Club - love it!

I just called Cigna, and spoke with a nice girl who was able to confirm they did receive my paperwork from my surgeon's office and it is in the system. I will have an answer no later than Thursday Oct 30th... So I will be calling them in one week. The impatient part of me wants to call on Tuesday to see if they have completed it early but I don't want to annoy anyone there. But this time next week I will have and answer of go or no go!!!

@@newstartme - do you mind sharing why they denied you three times? That has me worried now...

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I was just approved by Cigna on 10/21! I had been denied once, but the insurance coordinator at my surgeon's office was great and knew we just needed to send some additional documents to them. I was approved in a week once she submitted the additional paperwork. I CAN'T BELIEVE IT'S ACTUALLY GOING TO HAPPEN!! :)

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They said it was not medically necessary. And that i had no evidence i follow up with my doc in colombia. It was nothing but excuses but it got approved. ????

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I finally got approval from Cigna today!!!!! It took 3 try's. I had to formally appeal...but today I got my approval letter!! I'm so excited!

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They said it was not medically necessary. And that i had no evidence i follow up with my doc in colombia. It was nothing but excuses but it got approved. ????

Here is the medical policy not sure where it says you have to follow up with someone. Also Cigna sells to many - employers can make their own rules, they sell to other insurances who also can make additional rules but thy have to be in your spd

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

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Here is the medical policy not sure where it says you have to follow up with someone. Also Cigna sells to many - employers can make their own rules, they sell to other insurances who also can make additional rules but thy have to be in your spd

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

I got approved because i wouldn't let go the fact the excuses they gave me weren't on the policy. I am an hr manager so i directly contacted the benefits administrator from my employer and made a bit of noise in corporate lol!

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today i got my surgery date!!!!!

November 20th!!! wow, when things get moving they get moving!!!!!

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Grats!

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    • 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.
      · 0 replies
      1. This update has no replies.
    • 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

        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

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

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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