Dr's Office messed up my approval

[TripleK 22]

I need to vent. I started this process back in August knowing that my insurance (Cigna) required 89 days of supervised weight management. I went into the Drs office I choose, sat down with them & scheduled all my appointments in September with the scheduler. She set me up with 3 nutritionist appointments 9/8, 10/9, 11/13. I asked her if that was really enough & she assured me it was. STUPID of me not to count the days & have her add another appointment. Now my file has been submitted & I have been denied based on only doing 72 days of weight management. I will have to go back in next week, weight in at 2:30 pm instead of first thing in the morning like all my other appointments & my doctor has to schedule a peer to peer appeal. If I am over my starting weight she won't even bother with the appeal. I needed to get this done this year because I had already met my out of pocket max due to an injury. This process can take up to 3 weeks making getting done by the 31st almost impossible.

I am so pissed off & frustrated.

[slvarltx 332]

So sorry....super f'in frustrating. Stay with it though...worth it in the long run

[Chelle Bean 51]

So sorry ! I know it is a nightmare and your at the mercy of depending upon someone else to make sure it is all done right! Hope you get it by the end of the year! ​​

[rking 484]

When you go to weigh, wear the very lightest clothes possible, shorts, tshirt, no jewelry, socks, maybe. You can always bring clothes to put on. You might consider a liquid diet for however many days before the weigh in.

[TripleK 22]

rking - I have been doing the liquid diet since Wednesday & I plan to request a gown for weighing in

The surgeon had originally told me she would do everything possible to get my surgery done this year so I plan to remind them when I go in, being friendly of course.

[Tobeornottobe 89]

That sucks. Cigna require 90 days. The way Cigna describes it is actually greater than 89. Hopefully all goes well and you'll be approved.

[destiny_77 43]

I have Cigna but was required to do 6 months

[Tobeornottobe 89]

the employer can set the rules as to length.