I have Cigna and they do not just say on our ins that they cover bariatric surgery. There is a part that says you may be covered if your bmi is 40 or over and a couple other things. I have done all required and waiting on ins. Any one have ins anything like that and still got the go ahead?

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Yes. I have Cigna. If your BMI is over 40, they don’t require much. Honestly the hospital I chose had more requirements than Cigna. If I knew that I would’ve gone somewhere else. But Cigna is actually impressive. Approved in 5 days. Nurse from Cigna called me the next to be like my advocate during the process. Just make sure whatever hospital you chose submits everything to them when they request approval

Still waiting..I got denied and more and more stuff faxed to them. They keep saying it's not medically necessary. Its been six weeks messing with them

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Hi, I'm 4 weeks post op, had the sleeve at PennMed in NJ.

I have Cigna and had a quick approval. The doctors office has to have all of the prerequisite properly documented. Also,a big help was a letter of medical necessity from my primary. The letter included my weight for 5 years and current health issues impacted by weight.

Get familiar with your specific plan, call. CIGNA & ask questions. Follow up every 2 weeks until you get approved. Stay positive &Good luck.

Edited November 9, 20214 yr by Grace85

I had a very quick turnaround from CIGNA. Three days from submission to approval on the first attempt—but I had a BMI when I started of well above 50, and multiple co-morbidities.

But here is the thing—CIGNA is both a traditional health insurance company, and also administers health plans for companies that self-pay their insurance. If you got CIGNA from an ACA exchange or if you work for a small or medium sized company, chances are you have the traditional health insurance. If you work for a large corporation, chances are they're just administering what your company has decided to pay for.

You can tell which one you have by looking at the phone number on the back of your card. If it's different than 800-997-1654, or if it says "CIGNA's dedicated line for <company>", you are dealing with your employer, which is actually a bit easier. You can go to your company's benefits department and ask them to make an exception. If they are willing, they will overrule CIGNA's denial.

Also, the CIGNA follow-up nurses are amazing. Got me connected to all manner of things I needed. She followed up for two months after surgery and then rang off.

Edited November 9, 20214 yr by vikingbeast

Hello!
I also have Cigna and my approval was submitted on Monday the 24th of January. Called Cigna and verified they received it and now I wait! The requirements in my particular plan are pretty simple. And I completed all of them. Plus all that my chosen facility required. I have a current procedure date of February 17th. Hopefully approval will be quick. I will post once I am approved.

The struggle is real! Cigna approved in 4 days! Ordered all my vitamins (I chose the patch it ). Trying to stay focused