? on Latest wait time with Cigna

Sooverit! · February 20, 2008

Hi everyone, I know this question's been posted but I was wondering if anyone knew the latest turn around time for Cigna to issue an approval? Meaning from the time paper work is faxed to Cigna and call from Surgeon's office> approximate?

gordonfamily3 · February 21, 2008

From my exp of working w/ Cigna about 2 - 3 weeks. Normally closer to the 2 week mark.

dsk · February 24, 2008

Duke WLS says they submitted my package to Cigna on 1/25. Cigna says no... that they didnt get it till 2/7. Im still waiting.... Checked 2/21 and it was still in review.

dsk · March 11, 2008

Duke WLS says they submitted my package to Cigna on 1/25. Cigna says no... that they didnt get it till 2/7. Im still waiting.... Checked 2/21 and it was still in review.

Got Cigna approval yesterday.... However, they messed up the procedure code and have me approved for RNY instead of Lap Band. Sheesh...

nana811 · March 13, 2008

I have CIGNA/HMO, they submitted on 1/29 and on 2/5 I received a call from my surgeon that I was approved. IT WAS FAST!!! I did find out later that on 2/5 I was denied for "Gastric Lapband", the surgeons office automatically appealed that same day and I got approval. I received the approval letter and it said approved for "Outpatient Surgery". I got banded on 3/4. I had to pay $100.00 at the hospital as a copay and $1,000.00 to the surgeon assistant. (Which I don't know if he was even there, but that is a small price to pay compared to self-payers).

Do know that I did exactly what my surgeon's office said as to what I needed to have and do to get approval.

6 months of weight documentation

Psych evaluation - 1 visit

Dietician evaluation - 1 visit

BMI at 40

Good Luck.