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If I already did a 3-mo medically supervised diet, will that count?



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Hi, Bandsters... I am so grateful for this supportive, informative site.

Here's my insurance question. I am just beginning to collect all the paperwork I am reading is needed for iins. approval, have a Psyc interview scheduled, go to the seminar tomorrow, etc.

Because I have Aetna PPO, I see that they want a 3-month diet... but, last year I did a ONE YEAR medically supervised diet with a nutritionist and pills, and got a letter at the end of it recommending bariatric surgery b/c I only lost 18 pounds even tho I followed their diet for a year.

Do you think this will count? And if so, how should I write that up? I really dont' want to wait another three months to get the same answer.

Thanks! Newbie..

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Hi Gorainy,

I'd think that should count, bring all the paperwork with you to your surgeon's or PCP's office. Also, bring it to the seminar. They usually have someone there you can speak to about your specific issues.

Make sure you have extra copies, never give over your only copy!

You don't have to write anything up, your surgeon's insurance person does the submission. Just provide them with copies of the records or the name of the nutritionist so that they can request copies.

If Aetna denies it, I'd appeal. That was a supervised diet. The book Weight Loss Surgery for Dummies has some great appeals letters examples.

Best wishes!

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