Question:
I am looking for a PCP who will refer me to the Surgeon that I have chosen.
I have CIGNA HMO. I can switch to CIGNA PPO, but not until December, and I don't want to wait that long. Has anyone had any experience with CIGNA HMO, and/or a suggestion for a PCP in the Ventura, or San Fernando Valley, CA, area? Waiting until December seems like a lifetime to me, and if I can Get the approval through my HMO, then I am just that closer to my goal! — Ellen B. (posted on May 30, 2000)
May 30, 2000
I would do two things -- first, get a copy of your benefit summary plan
description; your employer may include this in your employee handbook.
Carefully review the coverage and any restrictions or non-covered services.
If you do not see a specific exclusion for weight reduction or bariatric
surgery, that's good...it gives you a healthy leg to stand on. Then, go
and see your PCP and talk honestly about your wish to have weight loss
surgery. If he/she isn't supportive, contact a surgeon that you are
interested in and get referrals to sympathetic docs. Hope this helps.
— Lorri S.
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