}, "@type": "Person", document,'script','https://connect.facebook.net/en_US/fbevents.js'); God will deliver those who trust and believe in Him. "interactionType": "http://schema.org/ViewAction", When I called Cigna regarding this they said I should not have followed the instructions on the 1st deniel letter and included the letter. If you get a rep that is not so helpful - hang up and call back. "dateCreated": "2007-06-21T02:06:35+0000", "author": { ips.setSetting( 'emoji_cache', jQuery.parseJSON('"1"') ); to see if the Insurance Company has contacted you. "mainEntityOfPage": "https://www.bariatricpal.com/topic/32268-cigna-people-how-long-did-it-take-for-approvaldenial/" Guess that way I\u0027d have to re-submit and wait an additional 30 business days. "interactionType": "http://schema.org/CommentAction", I got my approval in 2 1/2 weeks! "@type": "Person", "text": "Congratulations! { I said \"praise GodI\u0027m approved! "position": 2, .visely-recommendation-item .spr-badge-caption {display: none;} (function(){if(typeof window.CustomEvent==="function")return!1;function CustomEvent(event,params){params=params||{bubbles:!1,cancelable:!1,detail:undefined};var evt=document.createEvent('CustomEvent');evt.initCustomEvent(event,params.bubbles,params.cancelable,params.detail);return evt} Then I need to find a person to do the psych eval. I called and they asked me to call back in 7 days, so I did. This is a great place to ask questions! When I presented the letter to Dr's office the Receptionist read it and said "well it's different but we will send it anyway". } "image": "https://s.bariatricpal.com/uploads/monthly_2017_12/A_member_1137.png", var mappingH1; googletag.defineSlot('/15547294/BP_Sidebar_300x250_S2', [300, 250], 'div-gpt-ad-S2').addService(googletag.pubads()); "url": "https://www.bariatricpal.com/", "item": { "item": { "@type": "Comment", //setInterval(function(){googletag.pubads().refresh();}, 75000); "pageEnd": 11, "dateCreated": "2007-05-12T21:14:55+0000", }; Just my guess.\n\nI hope I didn\u0027t scare or discourage you! He then asked me to call Cigna back to get them to fax a \"Authorization Letter\" which would have the Authorization number on it. "text": "My approval decision took 2 1/2 weeks from the time Cigna received the paperwork. "name": "michiganer", }, "author": { But, some plans will exclude the bariatric surgery. GreenTealael, July 24, 2018 cookie_ssl: true, And that time I actually talked to 4 people and no one could explain it! Cigna bariatric surgery requirements 2019-2020. .cycle-3 img:nth-of-type(1) { -webkit-animation-delay: -3s; animation-delay: -3s; } jsURL: "//www.bariatricpal.com/applications/core/interface/js/js.php", There are some very important things I learned in this. "pageStart": 1, } If you do not have insurance and are interested in participating in our self-pay, pre-payment program, please call 319-356-1887 for information. When I called John back with the Authorization number, we both started laughing in total dis-belief. Erin18, June 25 I also have Cigna and would love for more Cigna people to respond. This development process enables organizations to leverage SharePoint's capabilities fully, optimizing productivity and facilitating seamless teamwork and content management. "text": "For me Cigna took the full 30 \u0027business days\u0027 to deny me. CIGNA people-How long did it take for approval/denial? "text": "I have CIGNA. "query-input": "required name=query", "image": "https://s.bariatricpal.com/uploads/monthly_2017_12/M_member_7780.png", Keep in mind that Cigna and Great West Healthcare recently merged so coverages apply to both companies. The Supv then advised me that they did not receive the Psy Eval (we did fax it) and they also needed a letter from my PCP of my diets, weight-loss, gain etc. I called his office to inquire as to what steps I needed to start for the surgery. It's just crazy! During sleeve gastrectomy, about 80% of the stomach is removed, leaving a tube-shaped stomach about the size and shape of a banana. { "url": "https://www.bariatricpal.com/topic/32268-cigna-people-how-long-did-it-take-for-approvaldenial/?do=findComment\u0026comment=461557", .visely-recommendation-item a, .visely-recommendation-item a:hover { text-decoration: none; color: inherit; opacity: 1; } It is annoying to continue calling but if you do not call over and over, your chances of getting approved is veryvery slim! I was denied the 2nd time for the Gastric ByPass surgery - yeah - scrary huh? .visely-recommendations-container .product__title p { margin:0px; } To say the least I was ecstatic! Once I completed those test the Dr\u0027s office faxed the information to Cigna. Only twice was I able to get past the first line of customer service reps (and I\u0027ve been denied 3 times). "image": "https://s.bariatricpal.com/uploads/monthly_2017_12/B_member_18037.png", I was not on a 6 month program but over the last 5 years I had been successful in loosing 90 lbs by dieting and exercising. "discussionUrl": "https://www.bariatricpal.com/topic/32268-cigna-people-how-long-did-it-take-for-approvaldenial/", I then went on line and located a Dr in my area. "type": "SearchAction", fbq('init', '1518864288430229'); Started 6 hours ago, By The insurance lady at my surgeon\u0027s office told me that if you meet ALL of their requirements, i.e. Surgery approval can be complicated; working with your doctor to get all necessary documents to Medicare is a great way to get quicker approval. When do I start taking my vitamins and for how long? "@type": "Comment", if(arguments.length>2){T=arguments[2]}} Hang in there! have all your ducks in a row before submitting paperwork to Cign or they will quickly deny you! I was then referred to Walter Lindstrom who accepted my case and I\u0027m now waiting for him to submitt an appeal. }}, 500)); }, Some insurances require people to demonstrate a certain amount of weight loss before they are eligible for surgery. refreshAds = function(refresh_slots) { "author": { "@type": "InteractionCounter", After giving me the run around she finally transferred me to the Pre - Determination department.The Representative from the Pre - D department then asked me to hold, she came back and said we have the paper work in office and you are approved! googletag.enableServices(); { }, "mainEntityOfPage": "https://www.bariatricpal.com/topic/32268-cigna-people-how-long-did-it-take-for-approvaldenial/" "mainEntityOfPage": "https://www.bariatricpal.com/topic/32268-cigna-people-how-long-did-it-take-for-approvaldenial/" The doctor\u0027s office said they had 30 days but usually when they deny it\u0027s within the first week or two. "url": "https://www.bariatricpal.com/profile/18037-bfynentyme/" "image": "https://s.bariatricpal.com/uploads/monthly_2017_12/K_member_15730.png", Then, you must call, call, and continue to call. After the Seminar I called the office the following work day and was told I needed to set up a Consultation. } message_imgURL: "", // BEGIN Widgets configuration Whether person be approve bariatric surgery depends on multiple considerations. They suggested my surgeron and their Director of Medicine talk about my case. Start. I\u0027m interested in knowing if you were denied, how long before you got that word, and if you were approved, how long for that? The worst thing would be for them to call you or your doctor on the 21st or something just to say they don\u0027t have all the information they need. } The surgery is usually done through several small cuts in the belly. Lap Band. { "url": "https://www.bariatricpal.com/topic/32268-cigna-people-how-long-did-it-take-for-approvaldenial/?do=findComment\u0026comment=460816", Since they asked us to re-send the Psy Eval he faxed it over again with the letter on a Monday. Make sure they have all the pieces they need to render a determination. "url": "https://www.bariatricpal.com/topic/32268-cigna-people-how-long-did-it-take-for-approvaldenial/?do=findComment\u0026comment=461572", $('.top-bar').hide(); "alternateName": "en-US" .visely-recommendation-item .cycle img { top:0; -webkit-animation-iteration-count: infinite; animation-iteration-count: infinite; display: block !important; position:absolute; } "url": "https://www.bariatricpal.com/profile/3372-shelby/" "interactionStatistic": [ So the Rep stated that they would send it to me and the Dr\u0027s office via \"snail mail\". Bariatric Multivitamins! I called back on Thursday to see if they had received it in their office and also to see if I was approved or denied. }, "name": "BariatricPal", So that was a no-brainer denial. He said he would write me a letter of medical necessity if I went to a Cardiologist and was cleared. \n", Sign up for a new account in our community. var relocateSearch = function(){ if (detectDevice() > 25){ $("#elSearch").prependTo(".ipsfocus-search"); } else { $("#elSearch").prependTo(".mobile-search"); } } The Rep told me that she could not give me the information over the phone and I immediately asked for a Supervisor. There is still no word. What's meant for us won't go by us! var classContent = $(this).attr('data-class'); I had a 37 BMI, no high blood pressure, no diabetes, etc. During my experience with Cigna, I've learned alot. My experience in getting approved for Lap Band Surgery. Seriously - when I called Cigna they couldn\u0027t explain it to me either! I did not hear from Cigna so after about 5 days and I called the Dr\u0027s office to see if they had heard any news. . I am praying that once all of my paperwork comes together, Cigna will approve it for me. It's common into discover health insurance our that becomes doesn pay for weight-loss surgery. var mappingT1P1; googletag.pubads().refresh(refresh_slots); "@type": "ContactPage", ", Very happy! This Coverage Policy addresses bariatric surgery and procedures for the treatment of morbid obesity. "author": { The doctor wraps a band around the upper part of the stomach to make the stomach smaller. Started 21 hours ago, By "inLanguage": [ I immediately hung up and called Dr's office and spoke with John. Right now I am in month 5 of my nutritionist diet program thing. I am as healthy as can be but because of my height 5ft 1 inch and 196 lbs, I am 75 lbs overweight. @media only screen and (min-width: 768px) and (max-width: 1023px) {} By antiCache: "6eb6316ff1", "name": "Joaquin", "userInteractionCount": 161 { He was told he was given the wrong number to call, was put on hold for 20 mins at a time, etc. LibrarianErin, May 16 .visely-pagination button.active { background-color:#4c4c4c; } Go now! I'm ecstatic and can't wait until July 2nd which is my surgery date! in PRE-Operation Weight Loss Surgery Q&A, By "text": "I have many friends who were denied by Cigna so before I applied I did my homework. At that time they advised me that it would be a 48 - 72 hour turn around before the office that I was speaking too would have it. "postalCode": null, }, They say they have 14 business days to approve but my approval was done within 24 hours but the info did not get to me for 3 business days. "@type": "Person", I cannot stress how important it is to have ALL your documents faxed on the 1st go round. ), Other Types of Weight Loss Surgery & Procedures. baseURL: "//www.bariatricpal.com/", Biliopancreatic Bypass (This is only for patients with a BMI in excess of 60) If the patient meets all the requirements outlined above, Cigna-HealthSpring PPO covers the entire cost of the weight loss surgery procedure. Search. For health insurance providers like Cigna, the prior authorization process takes an average of 5.7 hours, down from 18.7 hours. "url": "https://www.bariatricpal.com/topic/32268-cigna-people-how-long-did-it-take-for-approvaldenial/?do=findComment\u0026comment=433657", "author": { They suggested my surgeron and their Director of Medicine talk about my case. The call, call, and call again! The key is to have all your ducks in a row before submitting the paper work to them. "addressLocality": null, "url": "https://www.bariatricpal.com/profile/3372-shelby/" So I called back the next day on Wednesday and they had not received the paper work from the other department but asked me to check back later. "author": { In California, Cigna Healthcare SM offers a number of products, services, tools and capabilities to a wide variety of clients and to individuals.. Our HMO and Network plans are offered by Cigna HealthCare of California, Inc. Our Point-of-Service plans are offered by Cigna HealthCare of California, Inc. (in-network), or Cigna Health and Life Insurance Company (out . "url": "https://www.bariatricpal.com/contact/" !\n", By this time he knew my voice and said \"hello, what\u0027s going on\", have you heard anything? "url": "https://www.bariatricpal.com/topic/32268-cigna-people-how-long-did-it-take-for-approvaldenial/?do=findComment\u0026comment=435339", I had a 37 BMI, no high blood pressure, no diabetes, etc. Good Luck! Although Medicare pays for bariatric procedures, the program decides denial or approval of benefits on a case-by-case basis. She stated that they would mail a letter to me and the Dr's office. @keyframes fade2 { 0% {opacity: 0;} 5% {opacity: 1;} 55% {opacity: 1;} 60% {opacity: 0;} 100% {opacity: 0;} } "interactionType": "http://schema.org/FollowAction", Service code if available (HCPCS/CPT) To better serve our providers, business partners, and patients, the Cigna Coverage Review Department is transitioning from PromptPA, fax, and phone coverage reviews (also called prior authorizations) to Electronic Prior Authorizations (ePAs). I have learned quite a bit about what to do and what NOT to do when applying for coverage with Cigna. // Make hover navigation work with touch devices I started May 9th and was APPROVED on June 14th. var detectDevice = function(){ var grabPageWidth = $('body').css('min-width'); return parseFloat(grabPageWidth, 10); } I typed a letter up for the Hospital in which will be performing my surger and I\u0027ll send it to you. "name": "CIGNA people-How long did it take for approval/denial? var messageDate = new Date(); (function(w,d,t,r,u){var f,n,i;w[u]=w[u]||[],f=function(){var o={ti:"5174920"};o.q=w[u],w[u]=new UET(o),w[u].push("pageLoad")},n=d.createElement(t),n.src=r,n.async=1,n.onload=n.onreadystatechange=function(){var s=this.readyState;s&&s!=="loaded"&&s!=="complete"||(f(),n.onload=n.onreadystatechange=null)},i=d.getElementsByTagName(t)[0],i.parentNode.insertBefore(n,i)})(window,document,"script","//bat.bing.com/bat.js","uetq"); "text": "I was just as nervous as you are about being denied. I feel like a disgusting freak with a huge, pendulous stomach and fat, but disproportionately small legs. resizeWindow(); // BEGIN Polyfill Once I completed those test the Dr's office faxed the information to Cigna. VSG on 12/19/12. // Hide post controls if empty "@type": "ListItem", I bought my first pair of jeans in over a decade and am wearing them. I did that and the heart is good. Financial assistance available, if you qualify. function debounce(func, wait, immediate) { var timeout; return function() { var context = this, args = arguments; var later = function() { timeout = null; if (!immediate) func.apply(context, args); }; var callNow = immediate && !timeout; clearTimeout(timeout); timeout = setTimeout(later, wait); if (callNow) func.apply(context, args); }; }; Auto. Keep calling. "author": { "potentialAction": { }, "image": "https://s.bariatricpal.com/uploads/monthly_2017_12/B_member_18037.png", After the Seminar I called the office the following work day and was told I needed to set up a Consultation. Nearly 40% of adults are considered obese. .cycle-2 img:nth-of-type(2) { -webkit-animation-delay: -6s; animation-delay: -6s; } Coverage for bariatric surgery or revision of a bariatric surgical procedure varies across plans and may be governed by state mandates. mapProvider: 'none', I got my approval in 2 1/2 weeks! Then I need to find a person to do the psych eval. kacee, May 12, 2007 in Insurance & Financing. }, So much was going against me but I stayed on my knees trusting in God. My experience in getting approved for Lap Band Surgery. mappingT1P1 = googletag.sizeMapping().addSize([1024, 768], [468, 60]).addSize([980, 690], [468, 60]).addSize([640, 480], [320, 100]).addSize([0, 0], [320, 100]).build(); Thirdly, you must be proactive in following up for yourself call, call and call again! .ipsLayout_sidebarright .most-popular .visely-pagination {visibility: hidden;} "text": "I have Cigna also and I was wondering if they tell you why you were denied? "url": "https://www.bariatricpal.com/topic/32268-cigna-people-how-long-did-it-take-for-approvaldenial/?do=findComment\u0026comment=461688", .visely-pagination button { width: 1px; height:1px; outline:none; margin: 7px 7px; border: none; padding: 5px 5px; cursor: pointer; border-radius: 100%; background: #e3e3e3; min-width: 0px;} I called his office to inquire as to what steps I needed to start for the surgery. n.callMethod.apply(n,arguments):n.queue.push(arguments)};if(!f._fbq)f._fbq=n; "dateCreated": "2007-06-15T02:48:55+0000", Hopefully I am not asking too many questions.\n", .cycle-3 img:nth-of-type(3) { -webkit-animation-delay: -9s; animation-delay: -9s; } , you must be proactive in following up for yourself. "url": "https://www.bariatricpal.com/profile/18037-bfynentyme/" in General Weight Loss Surgery Discussions, By in General Weight Loss Surgery Discussions, By "image": "https://s.bariatricpal.com/uploads/monthly_2017_12/K_member_15730.png", function viselyForumInit() { \n \nWhen I presented the letter to Dr\u0027s office the Receptionist read it and said \"well it\u0027s different but we will send it anyway\". "name": "tanderson", analyticsProvider: "ga", My experience with Cigna Insurance and the. }; googletag.defineSlot('/15547294/BP_Sidebar_300x250_S4', [300, 250], 'div-gpt-ad-S4').addService(googletag.pubads()); .visely-pagination ul li a { display: block; min-height: 3px; height: 3px; } } "url": "https://www.bariatricpal.com/topic/32268-cigna-people-how-long-did-it-take-for-approvaldenial/?do=findComment\u0026comment=456402", These cuts are called incisions. After 7 days neither of us had received the letter. I have been at a stall for almost 8 months. 1 2 3 4 5 6 Next Page 1 of 11 kacee Bariatric Hero LAP-BAND Patients 3 2,682 posts Posted May 12, 2007 I have CIGNA. Has anyone experienced this? "@type": "Comment", onmyway11 ("ontouchstart"in t)&&!navigator.msMaxTouchPoints&&!navigator.userAgent.toLowerCase().match(/windows phone os 7/i))return false;this.each(function(){var t=false;e(this).on("click",function(n){var r=e(this);if(r[0]!=t[0]){n.preventDefault();t=r}});e(n).on("click touchstart MSPointerDown",function(n){var r=true,i=e(n.target).parents();for(var s=0;s1?arguments[1]:void undefined;var T;if(typeof mapFn!=='undefined'){if(!isCallable(mapFn)){throw new TypeError('Array.from: when provided, the second argument must be a function')} The doctor's office said they had 30 days but usually when they deny it's within the first week or two. I was kindof thinking it had been quite a while for a denial to be coming through. Some patients may be pre-approved for surgery within 12 weeks, others could take as long . At the consultation he took my weight, height, blood pressure, heart rate, etc and talked to me about dieting, weight loss and the procedure. }, { }, } }, .visely-recommendation-item { background-color: #ffffff; margin: 7px; position: relative; display: inline-block; border-radius: 5px; box-shadow: 0 2px 2px rgba(11, 25, 28, 0.1); } "datePublished": "2007-05-12T18:18:46+0000", t.src=v;s=b.getElementsByTagName(e)[0];s.parentNode.insertBefore(t,s)}(window, .visely-pagination { text-align: center; clear: both; } During their review, your health insurance company may decide a generic or another lower-cost alternative may work . "@type": "Person", I called back and Cigna said they could not give me the number over the phone but would mail it. }, Keep calling! var _d_site = _d_site || '91477E68AE0F3B83C4E72821'; You need to be a member in order to leave a comment. "@context": "http://schema.org", { Hopefully I am not asking too many questions. And that is exactly what happened to me. Products & Services. "dateCreated": "2007-05-12T19:34:25+0000", var Shopify = Shopify || {}; There are some very important things I learned in this Quest for a new beginning. "text": "Wow thanks Tanderson! googletag.defineSlot('/15547294/BP_Header_900x50_U1_Tracking', [1, 1], 'div-gpt-ad-U1-Tracking').addService(googletag.pubads());