I have Aetna insurance and they require a 90 day supervised diet. I go tomorrow for my 3rd visit with the nutritionist. I am not having any luck on loosing or maintaining my weight. I have gained 3 pounds and I have been documenting in a journal daily my food and exercise. I am getting my daily water in and walking 30 minutes daily. The last couple of times I have seen the nutritionist she's only given my advise on portion control and chewing 20x per bite. She has never set any calorie ranges or other goals to work on to help me loose. However even with portion control and walking I am gaining, now I am terrified that Aetna choice POS II will deny me. My BMI is 45 and I have diabetes, high cholesterol, and PCOS. Can anybody tell me their similar experience with weight gain during 90day diet and insurance approval. Thank you.

I am currently doing my 90 day diet for Aetna too, although I have managed to lose a significant amount of weight. I believe the bulletin reads that you cannot have a net gain over the 90 days so I would be concerned. If they deny you, you can always appeal and maybe cite the PCOS as a reason you've had difficulty losing weight? My nutrition told me to cut out starches and I've has success (I have pcos as well). Best of luck. Sounds like you haven't gotten adequate support from your nutritionist so I would bring that up at your next appt.