Cigna Requirements...???

My husband's company switched Insurance carriers to Cigna OAP. I spoke with Cigna to get all of the approval details. So far I have everyrthing in place. My surgeons office informed me this morning that Cigna also requires a letter from a reg. dietician (spelling?). Cigna never informed me of this requirement though. Has anyone heard of this and what are they expecting to see in the letter? Any info would really help out. Oh and does anyone know the difference between a PPO plan and an OAP plan? I've never had an OAP plan and I don't really understand the difference between the two. Thanks so much! morgan

Good Evening! OAP I believe stands for "Open Access Plan" meaning, that you are not required to stay within network when you see a physician. PPO members are given a list of physicians that are "in network" that they are allowed to see. If they go out of network they are usually required to pay, out of pocket for their visits. This is coming from a "family care" stand point. I'm not sure what kind of benefits a OAP would offer you for weight loss surgery. I am a Cigna WLS patient. It took me over 8 months to get approved for surgery. Me and my mom started at the same time and she is STILL fighting for approval. Which is what brought me to this side of the BB. Good luck, I hope all goes well for you. Make sure you have 6 months of a GOOD documeted physician controlled weight loss attempt. They are sticklers about that. I have six months, but it had gaps in it, it must be consecutive. No gaps. Must have monthly weigh ins.