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Cigna Approval



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Is Cigna that hard to get lapband approval for? I have finally heard back from the two doctors office that I am trying to get the surgery through, both of their insurance handlers sound very negative about getting Cigna to approve the surgery. One told me that I will have to come in the office to talk about it (she didnt want to talk to me on the phone about it). She is leaving me in a jam because she wants me to come in and talk to her right before I go for my initial appt(where I pay $395). The other office's insurance clerk, doesn't believe that Cigna even covers the band, we got into a little disagreement because I was looking at the statement from Cigna saying that they did cover it. So if she isn't positive about getting approval, why I should I believe in it either. And I have an appt with them next week. What do you think?

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Some Cigna plans cover it, some don't. It depends on your company, I think. HOWEVER: The Obesity Law Center lawyer, Walter Lindstrom, recently posted on another lap band site that Cigna now does cover Lap-Band. I would call Cigna and check with them. Don't let administrative staffs at doctor's offices deter you... some are fabulous, but some are horrid. Good luck...keep chugging!

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I have cigna and they denied me several times until my doctor had me do a lot of test and they finally gave in when they saw that my weight was the cause of my failing health. Cigna normally will approve the surgery you just have to go through a lot of test for them to see that it is not just cosmetic surgery.

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I had cigna and they denined me... it really sucked! I went though alot of testing but I was too healthy...just fat...I'm glad I now have bcbs...they arpproved me really quickly.

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I wish I could switch but my company just finished open enrollment and the only choices were Cigna and Cigna.....

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Stay on Cigna. I had my first visit with MD on March 17 and spent 2 months collecting paperwork on medical history and any weight loss programs I did. I also included a spreadsheet on what I did, the dates and the approximate cost involved for each one. After it was all said and done, I sent Cigna about a 5 pound package of paperwork. They approved me the first time around, but I called them every week (if not twice) starting in May. I had my pre-op visit June 9 and am scheduled for June 23. Good luck to you!!

Pam

224/??/130

Dr. Powell, Dallas, TX

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I gave Cigna everything in the appeal process... nutritionist records, food journals, pyschologists statements, physician's letter... and they denied me through every channel. Other examples here show you...it just depends on the plan.

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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.
      · 0 replies
      1. This update has no replies.
    • 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
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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      1. This update has no replies.
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