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Hi everyone. I am in the process of getting the Lap Band approved through Cigna. I went for a surgical consult a few weeks ago. They told me that Cigna requires a 6 month physician supervised diet, I had done that already last year. They also told me that they require a letter of medical neccessity from my PCP, I have got that as well. I also have to attend a nutrition and psych evaluation. I have done the nutrition already and I go for the psych eval tomorrow. I am 30 years old, 5'6 and weigh 255 pounds. My BMI is 41. I also have diabetes as well as hypertension. I was just wondering how long it takes for Cigna to approve the surgery and if I am denied, how many times can I appeal? All of this insurance business is very confusing to me. I have already paid quite a bit for the consult and all the evaluations. If they deny me, I will be out all that money!