Need help please

I have received a denial from Cigna stating medical necessity and a 6 month documented tracking weight loss program. My issue is that I am on layoff and will be retired the beginning of Nov and will be changing insurance which does not cover this. What is the best way to handle this appeal? I really want to get this approved before I lose this insurance.

I had Wausau insurance, and there was no way getting around the 6-month supervised diet. That is how I spent last summer and fall. If you post on the main message board, you might get a whole bunch of better responses than mine. Sue O.

I also have Cinga , and let me tell you, with this insurance company there is no way to get around what they are asking for. I have appealed once & it was denied & I'am now on my second round of appeals. I even went to my doctor & had him put me on phentermine. I was on that for 5 months & didn't have very much weight loss from it. They still denied my appeal. They said that it had to be 26 weeks of Dr. supervised diets. When they say 26 weeks of Dr supervised they really mean 26 weeks of weigh ins in which you have to see the doctor everytime, not just his nurse, you also have to have documentation of everything that was discussed in those meetings, along with a Dr supervised exercise program, & any changes in eating habits that the doctor suggests, along with any pharmaceutical drugs that are used. I also found that any time I go to see the Dr's in Madison if they mention the word obesity when filing the claim with Cigna, Cigna won't pay it. I have had success with calling them & asking why they paid the first claim when I had my consulatation & then they pay it. I was told once that if there are any claims that aren't paid & the surgery is approved, they will then pay those claims also, but not until the surgery is approved. When the doctor put me on the weight loss medicine I had to pay for that out of my pocket, because Cigna wouldn't cover it. I now have an appointment tomorrow to see my PCP again to have him put me back on the medicine & then do everything that I told you above, that way they have no reason to deny me again. Definitely not a fun company to work with. Good luck in your journey. Dawn