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Topic: RE: NAN2008!!! YOUR LETTER GOT ME APPROVED!! BY CIGNA!
Hello... My name is Rachel, I am 5 feet tall.... sign in BMI 40.4... pleased to meet you!!!
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
Here is the sample letter from NAN2008, changed it around to fit my cir****tances and took it to my PCP to sign it. The Surgeon faxed it to Cigna Insurance Monday Aug 30, and as approved Friday Sept 3rd!!! I am sooooo excited, I hope this letter help you as much as it helped me. God luck.
January 01, 2009
RE: Patient’s name
DOB:
To Whom It May Concern:
This letter is in support of bariatric surgery for xxxxx xxxxxx.. She has had a life long struggle with obesity and has attempted numerous methods of weight management without lasting results for over xx years that she has been a patient with us. She has tried various weight loss methods, including Weigh****chers, Atkins, Richards Simmons, Liquid Protein shakes, Adipex, Slim Fast, Diet Center, Protein Power and the 6-Week Body Makeover. She has lost significant amounts of weight on some of these programs, only to gain it back each time. She has exercised in the past, including exercise tapes, walking on a treadmill, and following a cardio and strength training program. She has a strong family history of obesity, hypertension, Type II diabetes, and heart disease. At this time, xxxx is extremely committed to pursuing bariatric surgery. xxxxxx has been diagnosed with morbid obesity, along with co-morbidities of Osteoarthritis of the knees and Hypertension.
Her current weight is xxx pounds and height of x’x". Her BMI is xx. In the past couple of years her weight has fluctuated between xxx and xxx pounds in our office. I believe that xxxxxxx is extremely motivated and knowledgeable about bariatric surgery and committed to making this a lifelong change. Her ideal body weight and weight loss goal is approximately xxx pounds. She is currently taking no medications and has no known drug allergies.
xxxxxx began a 3 month multidisciplinary surgical preparatory regimen on xxxxx xx, 2008. She has been in compliance with all components of the program and at this time, I feel that she has exhausted all of the options available to her other than weight loss surgery. I find this surgery to be a medical necessity and have referred her to xxxxx xxxxxxxxx, M.D., who specializes in laparoscopic Roux-en-Y gastric bypass surgery and offers extensive pre and post operative follow-up care. Should you have any questions regarding this recommendation, please feel free to contact me directly.
Sincerely,
Xxxxxxx xxxxxxxxxxxxx, M.D.
Address City, State, zip Phone#
January 01, 2009
RE: Patient’s name
DOB:
To Whom It May Concern:
This letter is in support of bariatric surgery for xxxxx xxxxxx.. She has had a life long struggle with obesity and has attempted numerous methods of weight management without lasting results for over xx years that she has been a patient with us. She has tried various weight loss methods, including Weigh****chers, Atkins, Richards Simmons, Liquid Protein shakes, Adipex, Slim Fast, Diet Center, Protein Power and the 6-Week Body Makeover. She has lost significant amounts of weight on some of these programs, only to gain it back each time. She has exercised in the past, including exercise tapes, walking on a treadmill, and following a cardio and strength training program. She has a strong family history of obesity, hypertension, Type II diabetes, and heart disease. At this time, xxxx is extremely committed to pursuing bariatric surgery. xxxxxx has been diagnosed with morbid obesity, along with co-morbidities of Osteoarthritis of the knees and Hypertension.
Her current weight is xxx pounds and height of x’x". Her BMI is xx. In the past couple of years her weight has fluctuated between xxx and xxx pounds in our office. I believe that xxxxxxx is extremely motivated and knowledgeable about bariatric surgery and committed to making this a lifelong change. Her ideal body weight and weight loss goal is approximately xxx pounds. She is currently taking no medications and has no known drug allergies.
xxxxxx began a 3 month multidisciplinary surgical preparatory regimen on xxxxx xx, 2008. She has been in compliance with all components of the program and at this time, I feel that she has exhausted all of the options available to her other than weight loss surgery. I find this surgery to be a medical necessity and have referred her to xxxxx xxxxxxxxx, M.D., who specializes in laparoscopic Roux-en-Y gastric bypass surgery and offers extensive pre and post operative follow-up care. Should you have any questions regarding this recommendation, please feel free to contact me directly.
Sincerely,
Xxxxxxx xxxxxxxxxxxxx, M.D.
Address City, State, zip Phone#
Hello... My name is Rachel, I am 5 feet tall.... sign in BMI 40.4... pleased to meet you!!!
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
Topic: RE: NAN2008!!! YOUR LETTER GOT ME APPROVED!! BY CIGNA!
Hello and congragualtions. I was just denied by my insurance company for a RNY yesterday and was on this site looking for some advice and saw your post. Is the Nan, My Appeal Letter posted on here and if so could you tell me where I can find the sample?? I am trying to not let this denial get me depressed and I could really use some help. I wish you the best of luck on your WLS journey. Thanks! Molly
Topic: RE: Aetna Questions
I was diagnosed w/type II diabetes on Aug 24 ... does diabetic ed count as dietary counseling towards the Aetna presurgery requirement?
thanks!
thanks!
Topic: RE: NAN2008!!! YOUR LETTER GOT ME APPROVED!! BY CIGNA!
Hello... My name is Rachel, I am 5 feet tall.... sign in BMI 40.4... pleased to meet you!!!
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
NAN... thank you from the bottom of my heart!!!! Your letter should be TRADEMARKED!!!! 
Hello... My name is Rachel, I am 5 feet tall.... sign in BMI 40.4... pleased to meet you!!!
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
Topic: NAN2008!!! YOUR LETTER GOT ME APPROVED!! BY CIGNA!
Hello... My name is Rachel, I am 5 feet tall.... sign in BMI 40.4... pleased to meet you!!!
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
OMG!!!!! I am sooooooooooo excited... after being DENIED on August 16th, 2010, my Primary Care Physician signed off on a letter that I got from an Obesity help member named NAN. My APPEAL was sent in on Monday August 30th, and my surgeon called me today and said "THAT MUST HAVE BEEN ONE HELLUVA LETTER, BECAUSE CIGNA HAS APPROVED YOU FOR WHATEVER WLS OF YOUR CHOICE!!! I go in on Sept. 14, 2010 for blood work, to see which surgery will be best for me, I am looking into Lap-band, or the VSG. Thank you all, for your concerns, and helping me get through this thing with fighting with the Insurance Company!!!! I will update you all on a tentative surgery date soon!!!! GOD IS WALKING RIGHT BESIDE ME ON THIS JOURNEY, IF I MAY FALL, HE WILL BE RIGHT THERE TO LIFT ME.
Hello... My name is Rachel, I am 5 feet tall.... sign in BMI 40.4... pleased to meet you!!!
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
Topic: RE: Letter of Medical Necessity - samples needed!
Hello... My name is Rachel, I am 5 feet tall.... sign in BMI 40.4... pleased to meet you!!!
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
THANKS TO NAN... I HAVE BEEN APPROVED!!!!!!!!!!!!! THANK YOU NAN!!!! 
Hello... My name is Rachel, I am 5 feet tall.... sign in BMI 40.4... pleased to meet you!!!
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
Topic: RE: My ins co won't disclose pre-reqs to me
@mistyshadows: you know, the thing that really frustrates me is that one surgeon's office told me that my insurance company requires a BMI>40 for a minimum of 5 years. The other surgeon's office told me that they don't.
They really don't make this easy, do they?
They really don't make this easy, do they?
mistyshadows
on 8/31/10 11:02 am
on 8/31/10 11:02 am
Topic: RE: My ins co won't disclose pre-reqs to me
I am having the same problem. I called the insurance company to make sure of the pre op requirements. The docs office told me I didn't have to do a supervised diet and that just doesn't sound right, so I wanted to confirm it with the insurance company. I was told the same thing you were. They only tell the doctor. I can't talk to the people that have the requirement info.
I wonder what the big secret is?
I wonder what the big secret is?
Topic: RE: looking for cigna approval
Cigna told me I had to do a 3 month diet plan, whi*****ludes seeing my PCP, a nutritionist, and join an exercise program. I guess my official "start date" would be Aug. 5, that's when I saw my doctor, and joined a gym. I'm hoping after I complete this they will approve. The surgeon's office seems to think everything will go through, I hope they are right.
Good luck on your journey, keep me updated.
Good luck on your journey, keep me updated.
Topic: looking for cigna approval
i a am looking to talk to someone who has been approved with cigna insurance and to know about the process i am currently on my 6 month diet plan.
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