Just wondering if anyone on here haws Cigna insurance and what was your requirements for the surgery?
3 months of weigh-ins etc, 6 months.....or longer?
I have cigna.
I don't know if every policy is the same... I had cigna through my husband's insurance and it wasn't covered at all. I switched over to my company's insurance (also cigna) and it was covered. I work for a HUGE company so I don't know if it's the same for everyone. I had to have 3 months of visits to my surgeon. I had to watch an educational video and get weighed in, but I didn't need to show a loss, which I've heard is a requirement for some insurance companies.
Age: 51
Highest weight: 257
Starting weight: 252.4
Month 1: -20 (232.4)
Month 2: -9.4 (223)
Month 3: -11 (212)
Month 4: -11.6 (200.4)
Month 5: -8 (192.4)
Month 6: -7.6 (185.8)
Month 7: -5.2 (180.2)
Month 8: -5.4 (174.8)
Month 9: -3.8 (171)
Month 10: -5 (166)
Month 11: -3.4 (162.6)
ONE YEAR: -1.4 (161.2) Total loss: 95.8 pounds!
Month 13: -3 (158.2)
I have Cigna and our plan was 3 months "guided weight loss" food journal with a physician (4 total appointments), endoscopy, cardiopulmonary examination and possible sleep study, psychological test (not as scary as it sounds!), and nutrition appointment. Our plan is 80%/20% up to $750 and 100% after $3,000. I've already put half of that into the pre-op portions!
During my 3-months I saw a physician that worked with the bariatric campus and was charged as a specialist visit. I've heard horror stories from other Cigna folks who saw their primary care physician and the office didn't submit the paperwork properly which made them have to start the entire process over. I don't know if Cigna is requiring a loss but the nutritionist will not allow me to get my surgery date until I've attempted to lose 5-10% of my weight. It's definitely different for everyone!
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