Jump to content
×
Are you looking for the BariatricPal Store? Go now!

3 Month Diet Requirement



Recommended Posts

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?

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

  • 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.

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

Quote

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.

Share this post


Link to post
Share on other sites

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.

Quote

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Miamibigjr

      1 year

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

      Almost 1 year post opp
      · 0 replies
      1. This update has no replies.
    • HaseenS

      Has anyone had problems with the bariatric miltivitamin? I am struggling to get them down. If they don't make me throw up, they make me feel sick to my stomach!! Does anyone do something different when it comes to vitamins?
      · 1 reply
      1. Mo'Nique

        Vitamin patches work wonderful. They are some what expensive but the only thing I can use

    • Kris10_78

      Any tips on what I should have on hand the first week post op? 
      2 days away!!!!!
      Thanks
      · 0 replies
      1. This update has no replies.
    • Kaguragetshealthy_87

      What I've learned this last 2 weeks is consistent. That's I've been able to lose a pound here and there. This morning sucked it was 48 degrees but I am working on being consistent and sticking to it. Am perfectly sticking to it? Hell no but I'm working my ass off!
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×