Got my denial letter..

Cigan HMO sent me my first denial letter and it says: -------------------------------------------------- For obesity surgery to be considered, there must be evidence that the member is at high risk and has failed less invasive methods of weight loss. Based on the 1998 NIH/HNLBI consensus report and similar evidence, CIGNA requires documentation, by a valid dietary log or diary, of multiple programs of adequate duration (at least two 6 month progams, including one recent progrm), which include professional supervision, recognized interventions (including a minimum diet therapy, and and preferrably also exercise and behavior modification), and regular follow-up (at least monthly), with weigh-ins, review of compliance/progress, and ongoing modification of the plan as indicated. (Prescription of weight loss drugs is considered an adjunct to other measures and does not by itself constitute an adequate program.) And if the member qualifies for surgery based on such evidence, the member must also be deemed to be an appropriate candidate based on a multidisciplinary assessment, which includes a psychological evaluation of the member's ability to comply with post-op regimens and adjust to dietary, physiological, and behavioral changes following surgery. ------------------------------------------------- I have records going back years of diet attempts, BUT I don't think any of them lasted 6 months... I sent the insurance company copies of my dr's notes, BUT basically they were all about prescriptions of adapex, and not much writeen about diet, so maybe I should go back to that doctor and get him to write a letter explaining the diet he had me on. Is there hope here?!? I can CREATE food journals for 6 months, I have weight watchers journal books to use for that. I just think its rediculous to expect someone to stay on a diet for 6 months when all it does is make you feel like a big fat failure... HELP...

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