Tomorrow I go to the doctors office which will complete my pre op requirements and the insurance coordinator will send off my package to Aetna. I've written before in other threads that I am missing the doctor weight records for 2008 and 2009. I have prepared a package to try and compensate for the missing info.

The package includes photos with time date stamps from that period of time, photos showing weight issues throughout my life, weigh ins from the gym with a letter from my trainer, a very detailed outline of my diet history over 30 years, and a letter that I hope is compelling enough. If this does work, I will be happy to share my letters and anything I have learned to help others get approval.

I have also made a second identical package to send to the claims advocacy department at my husbands employer. Thanks to the suggestions of the kind folks here, I hope that they can direct Aetna, who are simply the plan administrators to make an exception.

Please keep your fingers crossed for me. I hope I will not have to appeal, but I am up to the task if necessary. I will be tenacious!!!

Maybe try sending a copy of your drivers license too. Someone I work with had the same issue and Aetna accepted a copy of his dl as proof.