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Insurance approval (def of "medically supervised diets"???)

So, now that I have registered for my seminar, I have been obsessively researching the doctor, the hospital, the insurance approval process and the hidden costs I might be hit with unexpectedly that might delay my surgery because I am sooooo ready!

In obtaining the insurance requirements from Keystone Health Plan East (Blue Cross PPO), I noticed that there needs to be confirmation of failed attempts at medically supervised diets/weight loss plans. I saw my primary physician last week and she said she'd write the letter of medical necessity, I have a BMI of 43.5, and I have to attend this New Beginnings program, since my surgeon (Adam Goldstein) is part of the Virtua healthcare system. My question is this: would it be sufficient for the doctor to include in her letter that I have failed several attempts to lose weight or are they looking in my file for specific medically-diagnosed weight loss plans? I meet every single item in the criteria, and would be crushed if I hit a snag like this and can't get it covered (no way I'd be able to do self pay for this).

Can anyone help clarify the medically supervised item for me? Thanks SO much!!!

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