Most policies have coverage for weight loss surgery. Some benefit plans do not include bariatric surgery. If your plan includes weight loss surgery coverage, you need to contact Cigna. Great American Life Insurance Company merged with Cigna and is now part of Aetna.
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Does Cigna Cover skin removal after weight loss?
If the weight loss is the result of bariatric surgery, the surgery for the removal of redundant skin should not be performed until at least 18 months after the surgery. In the absence of evidence to the contrary, it is recommended that patients with a BMI of less than 18.5 kg/m2 and a body mass index (BMI) greater than or equal to 25 kg·m−2 be excluded from the study.
Does Cigna Cover Stomaphyx?
Some weight loss surgical procedures are not covered by Cigna. Gastric bypasses can be combined with a gastric banding procedure. Laparoscopic gastrectomy, which is a procedure in which a small incision is made in the stomach to allow for the removal of a portion of the large intestine.
Laparoscopy is not covered by Medicare or any other health insurance plan. If you are eligible for Medicare, you may be able to pay for this procedure out-of-pocket.
What is the BMI for bariatric surgery?
If you have a body mass index between 35 and 40, you can be eligible for weight–loss surgery. Be at least 18 years old, and have not been diagnosed with diabetes, high blood pressure, heart disease, stroke, cancer or any other medical condition that could affect your ability to lose weight or maintain a healthy weight.
If you have any of these conditions, talk to your doctor about whether weight loss surgery is right for you. Your doctor may also recommend that you consult with a registered dietitian or other health care professional to help you make an informed decision about your treatment options.
How long does it take for Cigna to approve a surgery?
Within 5 to 10 business days after receiving the prior authorization request, your application will be reviewed and approved or denied based on the following criteria. The applicant is a U.S. citizen or a permanent resident of the United States, or has been lawfully admitted for permanent residence within the past five years. the applicant has not been convicted of a felony or any crime of moral turpitude.
There are no other grounds for denying the application. Your application is in compliance with all applicable federal, state, and local laws and regulations. You have met all other eligibility requirements. If you are denied, you have the right to appeal the denial to the Immigration and Naturalization Service (INS) within 30 days from the date you received the notice of denial.
Does Cigna reimburse for Weight Watchers?
Special discounts on programs and services can help you improve your health and well-being. Weight Watchers, Jenny Craig, Pearle Vision, Bally Total Fitness, Curves, drugstore, and more are brand names that are included in the offers. Good health is more than a reward.
Does Cigna pay for labiaplasty?
Labiaplasty is not covered by Cigna because it is not medically necessary. Information on coverage can be found in the Cigna Coverage Policy for Gender Reassignment Surgery.
How can I get weight-loss surgery fast?
We recommend 6 steps to fast-track insurance approval: 1) a multidisciplinary team; 2) 6-month diet; 3) comprehensive medical evaluation; 4) flexibility and consistency; 5) analysis of medical history; 6) physical examination; and 7) referral to a specialist. We recommend that you consult with your primary care physician before starting any diet or exercise program.
What is the minimum weight for weight loss surgery?
You have to be between 16 and 70 years of age and morbidly obese to be eligible for the surgery. You must also have a body mass index (BMI) of 30 or higher. If you are under 18 years old, your parent or legal guardian must consent to your surgery. You will need to meet with your doctor to discuss your options.
