Cigna Approval

[SHONORS1324 8]

Hello, all I just submitted all of my required documents for surgery. I have a BMI over 40 with no comorbidities.

Insurance list they need this documentation:

a description of the proposed procedure(s) 

documentation of failure of weight loss by medical management 

unequivocal clearance for bariatric surgery by a mental health provider 

a nutritional evaluation by a physician, physician assistant, nurse practitioner or registered dietician

I did all but I am a little confused, because many people are stating they have to do a diet for 6 months etc.

Is "documentation of failure of weight loss by medical management". Does this mean they need a diet or just a letter from a PCP, because my doctor sent letter to PCP that stated, "the patient has made multiple weightless attempts and has been unsuccessful". PCP signed it and that was sent over to the insurance company with all other documentation.

Just nervous and wanting to be reinsured I don't need a diet program to be approved.

[kcuster83 1,502]

I had Cigna when I had my surgery. They required all of that, PLUS 4 month medically supervised weight monitoring.

This was 6 classes I had to take through my surgery center. The center requires a minimum of 6 months regardless of insurance requirements, but I still had my surgery within 5 months.

The woman at my surgery center told me that Cigna is one of the easiest insurance companies to work with and the quickest and easiest process for WLS approval.

I had no issues.

[SHONORS1324 8]

Hello,

So, I just called, and they stated that they didn't require the weightless medical plan, nor does where I am getting my surgery done. I am nervous! Just waiting on my EDG to get sent over....

I'm hearing from people that the policy plan for weight-loss surgery states they don't need weight-loss diet plans, and are finding out last minute even if they actually need one..