Certification for Bariatric Surgery

3 Star Quality Bariatric Centers

The criteria outlined below represent the minimum criteria a hospital facility must meet for consideration to be designated a 3 Star Quality Bariatric Center. Please note that meeting these criteria is not a guarantee that a hospital qualifies for certification.

If you are currently a participating provider in the CIGNA provider network and have a comprehensive bariatric surgery program at your facility, we welcome the opportunity to learn more about your program and to evaluate it for possible designation as a 3 Star Quality Bariatric Center. Requirements to qualify for this designation include:

• Level 1 Full Approval from the American College of Surgeons (ACS) Bariatric Surgery Center Network (BSCN)

and/or

• Full Approval from the Surgical Review Corporation (SRC)

and

• Active status as a participating provider in the CIGNA provider network
• Compliance with CIGNA's established clinical outcomes criteria

Please use the links below to review selection criteria and download the application.

CIGNA 3 Star Quality Bariatric Center - Application (PDF)
CIGNA 3 Star Quality Bariatric Center - Designation Criteria (PDF)
CIGNA 3 Star Quality Bariatric Center - Recredentialing Application (PDF)

You may submit the completed application to us via email to BariatricSurgeryCertificationProgram@cigna.com or via fax to 1.347.821.5999 or print it out and send it to the following address:

CIGNA
c/o Tracy M LaBranche
Two College Park Drive
Hooksett, NH 03106

We will endeavor to notify you of the results of our evaluation within ninety (90) days following receipt of your completed application. If you have questions or prefer to access this information offline, you may contact us in one of two ways:

• E-mail: BariatricSurgeryCertificationProgram@cigna.com
• Fax: 1.347.821.5999

For questions about benefits coverage:

• Members may contact the Nationwide Customer Care at 1.800.CIGNA24 (1.800.244.6224) (available 24/7)
• Healthcare Professionals may contact the Customer Service Center at 1.800.882.4462 (1.800.88CIGNA)

Note: Your patients must be eligible for this benefit under their CIGNA benefit plan and must meet our medical necessity coverage criteria.