I am finally finishing up my 90 day pre-op diet. I've successfully completed every other requirement by my insurance (psych evaluation, bariatric classes, nutritionist appt, etc) and my last pcp weigh in is in a week. I spoke to my patient advocate today to make sure my ducks were in a row for approval and she now says, for the first time today, that she needs medical records from 2013 and 2014 showing my BMI was over 35 since then. My BMI was under 35 in 2013 and nowhere in Cignas requirements (I've read the policy many times and called Cigna many times) does it say anything about needing two years of past records for approval. When I told the patient advocate this she told me they always ask for it. Does anyone have any info on this because I'm at the pre-op finish line and now this is thrown at me, and I'm devastated.

I just called Cigna to check my status and they said they had never received anything! I seriously wanted to cry. My doctor said they were submitting everything on 6/19 and it would take 2-3 days. I waited all last week for my call. SO frustrating and disappointing. So I called my doctor's office and she put me on hold and then came back and said I was on top of the pile and would be the next to be sent off. After all these months this has to be the hardest part. I am so ready and I've done all I can do. Now I just have to sit here and rely on other people to do their parts.

I would be so upset too. I'm sorry. That is tough but I'm glad you called.

I feel really sorry for you guys in the US with all the running around you have to do for your insurance to pay for WLS. I'm in Australia, and all we do is select a level of health insurance with Bariatric surgery cover, and if it is a higher level of cover sit through the waiting period (usually 12 months). You need a referral from your gp to the Bariatric surgeon of your choice. Then Medicare pays part of the cost, insurance pays part and you can get a medical loan or early superannuation payout to pay the gap (in my case approx $5000-$6000). So much easier ! ????

Soooo, I got the call today!!! My surgery is scheduled for June 20th!!! I cannot even express my excitement right now!!!

Soooo, I got the call today!!! My surgery is scheduled for June 20th!!! I cannot even express my excitement right now!!!

Congratulations! I hope it goes really well for you ????