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They said there is nothing mechanically wrong with my band. 
Which there isn't. It's everything else thats seems to be wrong.
HW 300, SW (Realize Band) 268, Revision to VSG 264
My surgeon submitted for approval on Jan 24th. I called my case manager on Monday and my case hasn't even been reviewed yet. She told me to try again next Monday i am so stressed and my anxiety is high waiting for the approval. I don't see why i wouldn't get approved though,, bmi has been over 50 for well over 7 years.. sleep apnea, pre-diabetes, did 6 months of monitored weight loss with nutritionist, etc
I have UHC my case manager said it could take 10-15 business days my surgery isn't until March 5th anyway and this is why my surgeons office schedules this far out for these reasons. How long for anyone who filed recently through UHC did it take to get approved??
HW: 401 SW: 297 CW: 200.8
RNY gastric bypass surgery on March 5th, 2013
I don't have much experience with Cigna, but what was the reason for the denial?
HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"
M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)
Has anyone ever appealed to Cigna and won? I have a Realize Band and had to have an emergency unfill in December. Since then I have had a lot of acid and heartburn. My doctor sent me over for an upper GI and my band is in perfect position. I haven't lost ANY weight since April of 2011. The last few months have been fill to be unfilled the following month. This is frustration, I am hoping to revise to the sleeve.
I would appreciate any help offered.
Thanks
Andrea
HW 300, SW (Realize Band) 268, Revision to VSG 264
I haven't submitted yet, but when I spoke with UHC, they said they usually respond in about 5 days. Good luck. Let me know how they did. 
I am in the beginning stages are applying to PCIP insurance because I know they cover wls. I was wondering if everything went ok and if you were able to get your surgery.....any updates or tips?
thank you for the reply. couldnt find it online and ive looked and looked.
They do cover the sleeve!
https://www.highmark.com/hmk2/index.shtml
The benefits are online! 
does anyone here have bcbs highmark and had the gastric sleeve done? i know they cover the rny and lap band but not sure about the sleeve. cant find my benefits booklet and they dont have one online. thanks
My surgeon's office submitted my paperwork yesterday. I called today and they confirmed it is in process, in review. How long does it take United Healthcare to get back to people on the approval?
- Geneen Roth
Hockeymom87 · 0 replies · 652 views
