Does cigna open access plus cover bariatric surgery

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If Your BMI is below 40, Cigna will also consider all medical issues and problems related to your weight prior to authorizing coverage of your Gastric Sleeve Surgery.

Cigna also offers discount programs for weight management, nutrition products and fitness club memberships. Disclaimer: This site is not affiliated with or endorsed by Cigna and is for informational purposes only - The following Cigna Gastric Sleeve guidelines have been compiled from various public sources. It is presented online for informational use only, and without warranty as to its accuracy, timeliness, or completeness.

This site does not replace any official versions of the information presented, nor does inclusion on this list guarantee coverage. Please check your Cigna policy before proceeding with your surgery. Schedule a Free Consultation Contact Us. Cigna Gastric Sleeve Requirements You may automatically pre-qualify for Cigna to cover your Gastric Sleeve Surgery in California if: You are pounds or more above ideal weight, or You have a Body Mass Index of 40 or greater, or You have a Body mass Index of 35 or greater and suffer from a weight-related problem that may be life-threatening or cause disability, including cardiovascular disease, mechanical arthropathy, lower extremity lymphatic or venous obstruction, hypertension, hyperlipidemia, type 2 diabetes, severe obstructive sleep apnea, coronary artery disease or pulmonary hypertension.

You have been overweight for at least five years, and You have been unsuccessful at all weight-loss attempts including diets, exercise and weight loss programs. Does United Healthcare cover gastric sleeve? Does Aetna cover gastric sleeve?

Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer. Bariatric surgery is surgery to help you lose weight. This type of surgery is only used for people who are very overweight and have not been able to lose weight with diet and exercise.

This surgery makes the stomach smaller. Some types of surgery also change the connection between your stomach and intestines. Having weight-loss surgery is a big step. After surgery, you'll need to make new, lifelong changes in how you eat and drink. Depending on whether your weight-loss surgery is to make your stomach smaller or to change the path of your intestine, your doctor will perform one of these procedures:.

The doctor uses a small part of your stomach to create a smaller stomach. This is connected to the middle part of the small intestine. Food skips bypasses the rest of the stomach and part of the small intestine. This surgery is called a Roux-en-Y say "roo-en-why" gastric bypass. You may stay in the hospital for one or more days after the surgery.

How long you stay depends on the type of surgery you had. Most people need 2 to 4 weeks before they are ready to get back to their usual routine. Your doctor will give you specific instructions about what to eat after the surgery. You'll start with only small amounts of soft foods and liquids. Bit by bit, you will be able to eat more solid foods. Your doctor may advise you to work with a dietitian.

This way you'll be sure to get enough protein, vitamins, and minerals while you are losing weight. Even with a healthy diet, you may need to take vitamin and mineral supplements. After surgery, you will not be able to eat very much at one time. You will get full quickly.

Try not to eat too much at one time or eat foods that are high in fat or sugar. If you do, you may vomit, get stomach pain, or have diarrhea. You probably will lose weight very quickly in the first few months after surgery. As time goes on, your weight loss will slow down.

You will have regular doctor visits to check how you are doing. It is common to have many emotions after this surgery. You may feel happy or excited as you begin to lose weight. But you may also feel overwhelmed or frustrated by the changes that you have to make in your diet, activity, and lifestyle. Talk with your doctor if you have concerns or questions. Think of bariatric surgery as a tool to help you lose weight.

It isn't an instant fix. You will still need to eat a healthy diet and get regular exercise. This will help you reach your weight goal and avoid regaining the weight you lose. You have this type of surgery to help you lose weight. It may be considered if your body mass index BMI is at least 40, or if it's at least 35 and you have other weight-related health problems. If your BMI is 35 or higher, surgery may be done if you have tried for at least 6 months to lose weight. Depending on the type of surgery, most people lose at least a third of their extra weight after surgery.

Some people lose almost all of their extra weight. Weight loss varies with the type of surgery. It also depends on how closely people follow their doctor's advice for lifestyle changes, checkups, and counseling. Research shows that people who have gastric bypass surgery lose more total weight than those who have gastric sleeve or gastric banding surgery. But those who have gastric bypass surgery have more complications right after surgery. Here are some risks common to all surgeries for weight loss:.

Talk to your doctor to understand all of your risks. Here are some of the most common or serious risks for each type of weight-loss surgery:. After this surgery, you are more likely to need another surgery to fix problems than you would after gastric bypass.

For example, some people need a second surgery because they aren't happy with having the band. Or the band can slip.

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Activate your myCigna account 1. Check out member programs and services. This page features plans you get through an employer. If you're looking for plans you can buy for yourself or your family, we can help get you there. View Cigna Company Names. Plans contain exclusions and limitations and may not be available in all areas. For costs and details of coverage, see your plan documents.

All rights reserved. Product availability may vary by location and plan type and is subject to change. All health insurance policies and health benefit plans contain exclusions and limitations. For costs and details of coverage, review your plan documents or contact a Cigna representative. Selecting these links will take you away from Cigna.

Cigna may not control the content or links of non-Cigna websites. Special Enrollment See all topics Looking for Medicare coverage? Shop for Medicare plans. We'll assume you're ok with this, but you can opt-out if you wish. Accept Read More. After Surgery. Vitamin Guidelines After Bariatric Surgery. Gastric Bypass. Gastric Sleeve. Lap Bands. How Lap Bands Work. Duodenal Switch. Duodenal Switch Surgery. Gastric Bypass Vs.

Gastric Sleeve Surgery. Average Cost of Gastric Bypass Surgery. All About Lap Band Fills. Lap Band Complications. Mini-Gastric Bypass.

Do I Have Morbid Obesity? Am I Covered. A Body Mass Index between 35 and 40 with at least one significant comorbidity that may include: Type 2 Diabetes High Cholesterol Heart Disease Pulmonary Hypertension Obstructive Sleep Apnea You must also show that other methods of medically supervised weight loss programs have failed. The medically supervised weight management program must include monthly documentation of ALL of the following: weight nutritional program exercise program An evaluation from a bariatric surgeon and your primary care physician with a resulting recommendation for surgery is necessary.

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