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3 Month Diet Requirement



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I have Cigna Insurance with a 3 month diet requirement. My last appointment is set for October 13th which is exactly 87 days of the diet program. I'm wondering if I need to try to set my doctor's appointment back because I heard they may deny you if it's not a full 90 days. Just wondering if they go by three separate months or actually count each individual day?

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Good question... i am going to call and ask my patient advocate today.

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Thank you so much for checking into that for me. Is your patient advocste from Cigna or from your hospital program? I don't have an advocate.

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mine if from my hospital, According to her it is 3 appts in 3 months they go by the month not the number of days... she says that is the case for most insurance so if u have a 3 month requirement then 1 appt aprox 4 weeks apart in 3 separate months is good

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Thank so much for the info I truly do appreciate it.

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Well, received a call that I did not pass my sleep Apnea test so while I was on the phone with the PA, I asked about the three month diet requirement. She said Cigna is a stickler about that and they actually count the days and it must be at least 90 days for approval. So now I have to back up my last PCP appointment and concern myself with the Sleep Apnea treatment.

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i have cigna and it was a 3 months requirement for me too but my surgeons office made me do 4 months so i wouldn't have no issues

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  • Actually I had four appointments. The first appointment on July 18th was basically for setting up the plan for goals and expectations. My last appointment will be October 17, which will be 91 days.

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They count every single day and you cannot be off by a day

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Thanks for the info but yea, that's what I already heard. Due to unforeseen circumstances I was forced to back my insurance submission up to 94 days anyway. So many obstacles seem to always come up that I've lost some of the excitement.

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I finally got everything submitted to Cigna on Tuesday 10/24. This is turning out to be the longest weekend just waiting and praying. I'm also praying for a November surgery date. My surgeons office said they don't assign surgery dates until after they get insurance approval. I'm hoping Magee Hospital is not backed up or has a waiting list.

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      1. Little wing

        Hello! I m 3 weeks post op and I just went through the worst constipation of my life
        I was severely impacted for 4 days (it was at the door) it was the worst experience ever!
        within 2 hrs I did 2 suppositories and 2 enemas, it did nothing! I always had the urge to go but it wouldn't come out, with the enemas the urge was greater but still nothing! the following morning I did another enema and nothing. I ended up going to the ER and got IV hydration but they recommended to manually scoop some out which I did but girl it was not enough for relief. My MD recommended: stop protein shakes and go back to liquids only like during week 1 and oral exlax pills, 1 dose and if no bowel movement within 4 hrs then another dose. I needed the 2nd dose by the next day I finally started to get relief.

        my advise before you get so constipated like me, is drink smooth move tea and
        if you get impacted like i was maybe try the exlax after you contact your surgeon and let him know they may advise to stop the protein shakes until you have a bowel movement.

        I know you are only day 4 so maybe not to worry right now. I had my first bowel movement on day 5 post surg. BUT BEWARE of not drinking water!
        I struggle with my water intake too, which is why i became so constipated. all that protein but no water, I know its really hard but we have to try. for me that whole experience has been so bad I am afraid to eat anything! Drinking teas really helps me with the water. I like chamomile and the smooth move tastes pretty good. I also try to ALWAYS have a water bottle in my hand. that is a good reminder to drink it. right now i am assuming you are at home mostly resting so its easy to just have it in your hand at all times.
        and I know its prob bad but I havent had a protein shake in a week. I'm barely recuperating from all that impaction trauma, lol.

      2. Uniquely Me

        I hadn’t pooped in a week also. I was taking benefiber everyday and nothing. I finally decided to take a laxative and went. I’m 9 1/2 weeks post op DS.

    • Missie21

      Hey all, 
      I'm new and I'm trying to navigate the site. 
      I can't seem to put in any info regarding my surgery, weight ect.
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      1. Kris10_78

        Hi! Me too. I cannot figure out how to add my surgery info

      2. Little wing

        Hello all

        I had this issue too on my phone on the app.
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      3. Missie21

        Ok thank you.

        I was trying to use my tablet bet still had the same issue

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