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  1. #1
    Gastric Sleeve Member danag's Avatar
    I have had a gastric sleeve.
    Surgery date
    11/18/2014
    Surgeon
    Dr. Duncan
    Join Date
    Jan 2014
    Last Activity
    07-01-2015 09:08 AM
    Posts
    5
    Said "Thanks" 0 Times
    Was Thanked 1 Time in 1 Post
    Said "Welcome to Gastric Sleeve" 0 Times
    Blog Entries
    7

    Default Non compliant....my asxxx

    Cigna denied my surgery. I had the lap-band in 2007 that was paid with insurance from a previous job and was done by a different doctor and hospital than the one I have now. Cigna says that I was non-compliant with the lap-band and therefore, they will not pay for the sleeve. That is crap. They don't even know anything about my experience with the band. They don't know about all of my fills, all of my visits to the doctor and hospital that is an hour away from my home. They don't know how much weight I lost with the band or any of the complications I had. I called Cigna and wanted an explanation. I wanted to talk to the person that made the decision that I was non-compliant and was told that that department does not take phone calls. I can file an appeal. I have done everything that is required by them to have bariatric surgery and have been working on everything since January. I am so frustrated with my doctors office and just feel like a number and not a person. I will file an appeal, but is this God’s way of saying that I don’t need this surgery? I have prayed and prayed about this and keep hitting obstacles. I am so disappointed .



  2. Gastric Sleeve Surgery With Weight Loss Agents
  3. #2
    sraebaer
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    Default Re: Non compliant....my asxxx

    My insurance company just says no bariatric surgeries, period. I had to pay, but it was the best thing I ever paid for.

    Sorry for your frustration!

  4. #3
    Gastric Sleeve Member mkrider's Avatar
    I have had a gastric sleeve.
    Surgery date
    02/21/2014
    Surgeon
    Dr. Kelvin Higa
    Join Date
    Mar 2014
    Location
    Central CA
    Posts
    83
    Said "Thanks" 22 Times
    Was Thanked 18 Times in 18 Posts
    Said "Welcome to Gastric Sleeve" 775 Times

    Default Re: Non compliant....my asxxx

    so sorry, I pray this is resolved..I too had to pull teeth to get this surgery done..but, I prevailed!


  5. #4
    Gastric Sleeve Member Ann2's Avatar
    I have had a gastric sleeve.
    Name
    Ann2
    Surgery date
    08/18/2014
    Surgeon
    n.a.
    Join Date
    Oct 2013
    Location
    Missouri
    Posts
    6,630
    Said "Thanks" 5,839 Times
    Was Thanked 5,052 Times in 2,720 Posts
    Said "Welcome to Gastric Sleeve" 3,616 Times
    Blog Entries
    3

    Default Re: Non compliant....my asxxx

    Going out on a limb here, but I'm betting God doesn't work at your insurance company.

    Maybe the other guy does though.



    Consult: 235 lbs
    My and doc's preop diet: 216 -19 lbs
    M1 postop 205 -30
    M2 193 -42
    M3 184 -51
    M4 174 -61
    M5 167 -68
    M6 162 -73
    M7 156 -79
    M8 151 -84
    M9 148 -87
    M10 146 -89
    M11 144 -91
    M12 143 -92
    M13 142 -93
    M14 140 -95
    M15 139 -96
    M16 137 -98
    M17 135 -100

    First Surgiversary post

    Second Surgiversary post

    Third Surgiversary post

  6. #5
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Surgery date
    08/28/2013
    Surgeon
    Dr. Frank Veninga
    Join Date
    Aug 2013
    Last Activity
    05-26-2016 08:35 PM
    Posts
    1,196
    Said "Thanks" 42 Times
    Was Thanked 304 Times in 287 Posts
    Said "Welcome to Gastric Sleeve" 74 Times

    Default Re: Non compliant....my asxxx

    The other guy cant work at her insurance company cause he is one of my employees.



    8/14/13 - 279 Pre-Op
    8/28/13 - 265 Surgery
    9/28/13 - 235
    10/28/13 - 218
    11/28/13 - 209
    12/28/13 - 198
    01/16/14 - 195

    Blood Sugar 140 with metformin before surgery, 80 with no meds after surgery
    Blood Pressure 145/90 before and 110/70 after

  7. Gastric Sleeve Surgery With Weight Loss Agents
  8. #6
    Gastric Sleeve Member KajunKween's Avatar
    I have had a gastric sleeve.
    Name
    Stephanie
    Surgery date
    11/03/2014
    Surgeon
    Dr. Schrapps
    Join Date
    Jul 2014
    Last Activity
    06-21-2015 08:14 AM
    Location
    Southeast Texas
    Posts
    44
    Said "Thanks" 2 Times
    Was Thanked 9 Times in 9 Posts
    Said "Welcome to Gastric Sleeve" 1 Times
    Blog Entries
    1

    Default Re: Non compliant....my asxxx

    I'm so sorry you are dealing with this. A guy I work with said his wife kept at it with insurance when she had her surgery, and they did eventually cover it. My insurance now covers surgery, but there is A LOT of red tape and hoops I am having to jump through. It might take longer than I'd like, but it's worth it. Don't give up, and remember the sqeeky wheel gets the grease. File an appeal, and if it's still denied, call and call and call. Eventually someone will listen.



    First surgical consult: 267
    Start of surgeon’s pre-op diet: 260
    Surgery day: 252.8
    1 month post-op:
    2 months post-op:
    3 months post-op:
    4 months post-op:
    6 months post-op:

  9. #7
    Gastric Sleeve Member Deejaycee76's Avatar
    I have had a gastric sleeve.
    Name
    Dustin
    Surgery date
    02/10/2014
    Surgeon
    Steven A. Tersigni
    Join Date
    Mar 2014
    Last Activity
    12-29-2017 11:31 PM
    Location
    Bend, Oregon
    Posts
    444
    Said "Thanks" 48 Times
    Was Thanked 130 Times in 115 Posts
    Said "Welcome to Gastric Sleeve" 109 Times
    Blog Entries
    9

    Default Re: Non compliant....my asxxx

    Insurance companies suck. Suck. Suck. Suck!
    Save up 5 grand and go to Mexico.
    Get your mind right...Get your grind right

  10. #8
    Gastric Sleeve Member Robbnva's Avatar
    I have not had a gastric sleeve.
    Name
    Robbie
    Surgeon
    Brian Cantor, MD
    Join Date
    Jul 2014
    Last Activity
    01-08-2015 08:17 AM
    Location
    New Market, MD
    Posts
    198
    Said "Thanks" 10 Times
    Was Thanked 27 Times in 26 Posts
    Said "Welcome to Gastric Sleeve" 1,123 Times

    Default Re: Non compliant....my asxxx

    Quote Originally Posted by Deejaycee76 View Post
    Insurance companies suck. Suck. Suck. Suck!
    Save up 5 grand and go to Mexico.
    easier said than done



  11. #9
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Surgery date
    06/09/2014
    Join Date
    Mar 2014
    Last Activity
    03-03-2016 11:54 PM
    Posts
    31
    Said "Thanks" 0 Times
    Was Thanked 7 Times in 6 Posts
    Said "Welcome to Gastric Sleeve" 8 Times
    Blog Entries
    8

    Default Re: Non compliant....my asxxx

    I took out a loan to pay for mine because my insurance won't cover it.
    Have only lost 25 in a month do to a slow thyroid but it was worth it.



  12. #10
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Surgery date
    01/03/2014
    Surgeon
    Dr. Ragui Sadek
    Join Date
    Dec 2013
    Last Activity
    01-19-2015 08:50 PM
    Location
    NJ
    Posts
    92
    Said "Thanks" 1 Times
    Was Thanked 12 Times in 11 Posts
    Said "Welcome to Gastric Sleeve" 3 Times

    Default Re: Non compliant....my asxxx

    Quote Originally Posted by fri38cy View Post
    I took out a loan to pay for mine because my insurance won't cover it.
    Have only lost 25 in a month do to a slow thyroid but it was worth it.
    Your weight loss is actually very good. Not sure why you think it's not.


    Start pre-op: 395
    Day of surgery: 386
    Current: 275

    January: -19
    February: -10
    March: -15
    April: -13
    May: -12
    June: -15
    July: -7
    August: -16

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