Appealing Cigna's decision is asthma comorbid?
I called and the agent told me over the phone that I was denied. I haven't gotten an official letter yet but she said it was because I didn't have a 6-month diete program (which I did) and that I didn't have a BMI over 40 for more than two years. I'm going to get my medical records for my asthma/allergy specialist saying that I have asthma. I wasn't sure if this was a comorbid condition and my BMI was over 40 for more than two years. (Apparently losing weight during those 6 months put me under.) So I didn't bother to include it in my initial paper work but I will include it when I appeal.
So I have two questions...has anyone appealed Cigna and gotten approved? And...Is asthma a co-morbid condition?
So I have two questions...has anyone appealed Cigna and gotten approved? And...Is asthma a co-morbid condition?
I would not take this lying down - if you lose weight during the required diet that should not disqualify you. I don't think Asthma is a co-morbid because perfectly skinny people can have it. It has be cause or severly increased by obesity.
I say, get pro-active, get their requirments for approval in writing, and them give them double the documentation to prove you qualify in their own words.
I say, get pro-active, get their requirments for approval in writing, and them give them double the documentation to prove you qualify in their own words.
Duodenal Switch hybrid due to complications.
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on 9/13/08 6:22 am
on 9/13/08 6:22 am
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If your below BMI 40, you need one comorbitities. It doesn't list asthma but it also says not limited to......
I would get all your doctors records for every visit for the past few years to show your weight.
Good luck.