Will insurance accept this letter?

My PCP said she would not specifically recommend surgery. Instead, she said she would describe all of the various attempts I have made to lose weight. She will also write about my current health - reflux, knee/back/ankle problems, migraines, apnea, family history of heart attack and diabetes. She said she will also state that I must lose 150 pounds or I am at great risk of health complications. My PCP does not know enough about the surgery and is uncomfortable recommending surgery to acheive weight loss. (Old attitudes) She did say that she wasn't against surgery, either. Has anyone else had a referral letter like this? Will this referral letter work for the insurance company? Thanks and keep smiling, Hope Pre-Op 5'5", 295 lbs.

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