Help!! Am I ever going to get approved

I have Cigna for my medical insurance and everyone knows that they require the 6 month diet. After completing the 6 month diet what did you give to Cigna to get approved? a letter from the doctor? medical records? My PCP sent me to a dietician for the 6 month diet and then she prepared a letter to Cigna saying that she supervised and managed the diet whi*****luded visits to a dietician etc. Just wandering will this be enough to get approved. Do I have desperate written across my forehead.? I think so......

Well Shiela, I have Cigna as well...This is what I had to have: My Dr. wrote a letter stating the medical necessity and that he referred me to be seen by a surgeon for the GB...This letter included the 6 months or longer supervised diet (within the past 12 months) and all of my weights, diet plans, diet pills (perscription and/or over the counter), he also included a copy of all of my medical records as well. You are going to need to be seen by a psychiatrist to make sure that you are well ready and mentally prepared to take on this challenge (required by Cigna). You'll need a letter written by this psychiatrist saying they think you would be a good candidate for the GB. You have seen a nutritionist so you are going to need them to write a letter stating their findings and that they think the GB would work for you. I personally wrote a letter to the insurance compay stating why I felt that I needed the surgery (not required). I had my bloodwork done by the physician showing the TSH and the glucose. Then, you are going to need the recommendation from the surgeon. After you have all that you should be set. What number do you have for Cigna on your card. I am in Jacksonville, Florida and we probably do not have the same regional office. The number that I always used is 1-800-251-0669. I called that number many times.... I hope this helps you.. Good luck. Email me anytime. I am more than willing to help you if you need anything else ok! Let me know your progress.