CIGNA POS (What am I in for?)
Be detailed with them. Make sure you submitt everything. If you have a six month diet or are doing one make sure it is from a doctor other then your surgeon and you go in monthly to get weighed. Some States do allow you to get past that requirement, like NY, CA, NJ etc. If you show you have a history of dieting and this is your last resort.
Good luck.
Gary