Cigna and Lapband
Is Cigna that hard to get lapband approval for? I have finally heard back from the two doctors office that I am trying to get the surgery through, both of their insurance handlers sound very negative about getting Cigna to approve the surgery. One told me that I will have to come in the office to talk about it (she didnt want to talk to me on the phone about it). She is leaving me in a jam because she wants me to come in and talk to her right before I go for my initial appt(where I pay $395). The other office's insurance clerk, doesn't believe that Cigna even covers the band, we got into a little disagreement because I was looking at the statement from Cigna saying that they did cover it. So if she isn't positive about getting approval, why I should I believe in it either. And I have an appt with them next week. What do you think?
Hi Sonya,
I have Cigna also, and my particular plan does not cover the Lap Band. When I first started my WLS journey, my employer was modifying their Cigna plan. I spoke with the insurance reps about coverage for any weight loss surgery, and they did everything to discourage me from applying. One rep even told me that her mother was denied, and she had X number of comorbidities, etc. Also, any WLS coverage request for Cigna is done by a separate company called Intracorp. They are the ones you may want to also contact and get info from. Cigna's story changes from day to day and rep to rep. But you have their policy on WLS in your hand - hold on to it and your resolve to do battle if necessary. This is the one part that keeps me up at night. Hang in there - I'm right there with you!
Michelle