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Cigna and 40 BMI



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Hi I am knew here and have a question. Yesterday I went in for my first visit. I am at 41.1 BMI and if I was to even lose 7 pound in the 6 month weight loss program that Cigna requires I would fall below 40. When I first made the appoitment the lady told me we always go by the first weight in but yesterday the nurse said I should stay above 40 to make sure that Cigna would not use it to deny the surgury. So my question is how important is it to say above 40. I really want to get started eating right before the surgury. I have already cut out coke in the last month and don't ever miss them. I want to start eating better but I am afraid to lose over 7 lbs. What are your thoughts?

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I had the same dilemna. I had to make sure that I did not loose a lot of weight. Cigna will look at the starting and ending weight and you really want to make sure that your ending is lower than your starting. When my paperwork was fianlly submitted by BMI was 40.1 and I was approved. I pretty much just ate what I wanted but with each visit and I make sure to loose at least one pound.

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I am of dissenting opinion. Keep your current weight. I think if you make sure you keep your BMI ABOVE 40 you'll have a better time being approved. If you can lose weight and still have a 40 BMI, go for it. I didn't lose much weight at all during my 6 month "diet"; had I gained and my BMI had become 40+, I think I would have been approved.

It's a screwy system when you have to gain weight to have an operation to lose weight. Don't you love insurance??

I really do wish the best for you!!!

:P

Shandra

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I am really going to try to stay adove 40. I have been at the same weight for the last year with no real ups or down so it should be easy. I have cut out coke so I may have to try to stay above 40 because I am only 7 lbs above the 40 mark. Thanks both of you who responed.

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Just make sure that when your paperwork is submitted your bmi is above 40. I barely made it but I was approved with a 40.1.

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With CIGNA is it absolutely required that you have a BMI of 40+?? I have a BMI of 35.0. Has anybody gotten approved by CIGNA with a BMI lower than 40? I have been through all of the steps and my coordinator seems optimistic. Now I am really scared!!!

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One thing to keep in mind is that muscle weighs more than fat. So a good exercise program (one where you build muscle) could help you to keep the BMI up while you eat more healthfully.

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With CIGNA is it absolutely required that you have a BMI of 40+?? I have a BMI of 35.0. Has anybody gotten approved by CIGNA with a BMI lower than 40? I have been through all of the steps and my coordinator seems optimistic. Now I am really scared!!!

Cigna will appove at 35 BMI if you have commorbities. I did not have any commorbities so I had to make sure that I stayed about 40. I very happy to say that I am 3 weeks post op and my BMI is now 36.2!!!

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You can not get away without doing the six month diet. It is a requirement no matter what your BMI is. Trust me, it was not that bad.

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i have cigna and according to their guidelines since i am type 2 diabetic i need to have a bmi for at leat 24 months prior, last year during my 6 months of supervised weight loss i got down to a bmi of 33.8 once, has anyone had this happen and does this mean there is no way i will be approved, i need help

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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