How can I get AETNA approve surgery.

I have been denied twice. I am 100 lbs and more over weight. I have swelling in my legs and I am on HCT meds. I do take previcid. I have been on meds for insilin residence and I have been gaining more weight. I have many bouts with depression and on meds for that as well. AETNA says they want my PCP to oversee 6 months of diet and behavior modification before they will approve any surgery. Has anyone had this situation with AETNA. By the way I have a PPO. This has been very trying and has sent me into another two months of depression.

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