Does anyone one have Healthnet Advantage Platinum in New Jersey?

I have Healthnet insurance and they have been great until now. They have denied coverage for the surgery saying that do not meet medical necessity because I did not provide documentation of a 6-month supervised diet in the past two years. I agree that I have not participated in a supervised diet in the past two years, however I have in the past 4-years. My surgeon has been trying to get a peer to peer review with a medical director at Healthnet and they are not returning his calls. I may have to file an appeal to see if they will cover without me doing an additional 6-months supervised diet. Has anyone had deal with Healthnet in this manner. Also if anyone has a sample appeal letter I would greatly appreciate it.

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