Does Cigna pay for weight loss programs?

Most policies with Cigna cover weight loss surgery. However, some benefit plans do specifically exclude bariatric surgery. Contact Cigna directly to find out if your plan includes weight loss surgery coverage. Cigna recently merged with Great West Healthcare.

Which weight loss surgery is covered by insurance?

All health funds cover bariatric (weight-loss) surgery, however you will need to be in a high level of cover. To check, simply contact your health fund and quote the following ‘item numbers’: Gastric band 31569, Gastric Sleeve 31575, Gastric Bypass 31572. It’s that simple!

How long does it take Cigna to approve surgery?

Typically, within 5-10 business days of receiving the prior authorization request, your insurance company will either: Approve your request.

What is medically necessary weight loss surgery?

From the insurance perspective, weight loss surgery has always been considered “medically necessary.” This means that weight loss surgery is not considered cosmetic, but rather is performed to decrease the health risks associated with severe obesity.

Does Cigna reimburse for Weight Watchers?

CIGNA Healthy Rewards® includes special discounts on programs and services designed to help you enhance your health and wellness. The offers include brand names such as Weight Watchers®, Jenny Craig®, Pearle Vision®, Bally Total FitnessTM, Curves®, drugstoreTM and more. Good health is its own reward.

Does Cigna cover reconstructive surgery?

Reconstructive surgery may be covered if it will improve your physical function or will correct a problem present from birth (congenital) or caused by an accident. But unless the surgery or procedure is done for medical reasons, you will probably have to pay for it yourself.

How long does Cigna take to pay claims?

Where paper claims can take 10-15 days to pay, electronic claims typically take only 3-5 days to pay (and can be processed in as quickly as 1-2 days).

Does Fidelis cover weight loss surgery?

7. Does my insurance cover the surgery? Generally, these services are covered by insurance, including Medicare, Medicaid, Medicaid managed care (such as MetroPlus, Healthfirst, or Fidelis), and private insurance plans.