Cigna - Waiting again need tips

I have a BMI of 74, 463 lbs, Asthma, High blood pressure, Severe knee & hip pain. Severe obstructive Sleep Apnea, currently on CPAP & Oxygen, Depression. I was denied 3 times back in the early summer because of no 6 month Doctor supv. diet. This was even after my Doctor talked to the Medical director who said he had no authority to overturn an appeal. My Doctor then sent in a letter to the appeal board. Their reason for denying No Medical necessity, no 6 month supv. diet, and no nutritional study (which they had). I was 4 months into the supv. diet at the time. I've now completed the 6 months supv. diet. The nurse at the Surgeons office contacted Cigna and got 3 different response from them. Finally a supv. told her to fax everything into the predetermination office with all of the notes. She sent in 37 pages of documentation to them which they confirmed today that they were recieved.  How do I proceed if I'm denied again? Bypass is a covered item on my PPO policy. I have a surgery date of 9/26 and I pray they don't deny me again. Thanks,  Tom

No waiting,  keep bothering them.  Be the sqweeky wheel.

I was denied once because of the diet.  I completed the 6 month physician supervised diet and submitted my own appeal.  On your denial letter is the address to submit an appeal to the National Appeals Unit for Cigna.  The letter also states what requirements you needed to complete. I think I would start there. Sandy

i have cigna ppo and my packet was sent for approval on 09/11. i'm waiting (on pins and needles) right now to see if they would approve me. i had the 6mo diet thing, so we'll see. i've yet to hear anything good about cigna and wls. several of my co-workers who had wls had to switch to another insurance company b/c cigna was denying everybody! good luck to you.