I have Cigna...been denied 2x going now for 3rd try.....
Dear jill
if you don't have enough documentation, that would be your
doctors fault. Most doc's that due weight loss surgery, know
what you need. They give you a list, and you get it all done.
You also could have all your others doctors write letters saying
how long they have been caring for you, and why they think you should
have the surgery. If it comes back with a "no" . Than they will tell
your doctors office what you are missing. If your surgeon is going
to just accept the "no". Than I would start all over, and see another
surgeon.
Good luck with this.
Bridget k. "nobetterwomen"
Jill, I contacted you privately about this. I don't like the "new" obesity help system because it doesn't do email the same way it used to. Anyhow, I was denied for some nonsensical reason - but I think it was for the 6 month medically supervised diet. Since they publish the wls requirements it's a simple matter of looking at the website and seeing the requirements. Frankly, I think I just got someone who got up on the wrong side of the bed that day. I got the denial overturned without an appeal. Have you gotten a decision yet? You can contact me privately on this if you prefer - I think my profile has my email address on it.
Irene
Hi Irene,
Thanks so much for responding.....I am anxiously awaiting for the final papers to go to the insurance ****igna) I have done all they require....combination of 6 months
nutrition, with my general MD and a nutrtionist. I have sleep apnea and high BP .....feeling so overwhelmed and anxious all in one...crazy stuff. there telling me my surgery with be in March...so we'll see...I've been told that before. I'll keep ya posted..any support would be so appreciated
Thanks so much
Jill in Marlton
ps..no private-mail address found
Thanks for letting me know about the email. It used to be there... guess that's the *new* and *improved* OH format... But it IS there now!
I will be keeping my fingers crossed for you. The insurance company can keep you in suspense for a while. I think they can hold out until 72 hours prior to the procedure.... talk about nerve wracking! You can always call the insurance company and make a pest out of yourself...
I was denied twice by my insurance company and got the denials overturned without an appeal. Hopefully you won't need to deal with any of this, because they will approve it for you! But if I can help in any way, let me know.
All the best to you!
Irene