SO, I have my last diet appointment next week. They will send my paperwork to Cigna before I leave the office. Im super nervous about this. Im worried that, since my appointment isn't as soon as I wake up, my weight will be just slightly higher than my first appointment. Has anyone experienced this? Is there any kind of +/- for the weight? Im so worried that a few ounces is going to kill my chances at this.

I have Cigna also. I didn't lose any weight during my 6 months of supervised weight loss attempts and they still approved me.

I also have Cigna and lost some pre-op but I don't remember their ever being a specific weight loss requirement - just that you had supervised diets and tried. Especially if you have any co-morbidities and you are only talking about a few ounces, you are going to be fine. They approved me FAST. It was submitted on a Friday at noon and I got a call from surgeon's office Monday morning that it was already approved.

By the way, the one thing I didn't have at my last NUT apt was a letter from a doctor other than the surgeon recommending me for the surgery which my surgeons office said was required to submit. It does say that in the Cigna requirements but I had overlooked it. If you don't have this yet (or haven't been told about it), you might want to ask your surgeon's office so you can get that from you PCP or other dr (mine was my endocrinologist) to give them the day of your last visit.

• Daisee68,

I have all my other paperwork. All the letters and evaluations and what not. The only think I have left is my cardiac approval (which Im doing tomorrow) and my last diet visit next Thursday. Im absolutely terrified that I will be denied for something. anything. Ive been preparing for a year and Im just so ready to be done with the waiting.

You poor thing! An entire year! Wow. Take heart. you are almost there!