New Requirement for Bariatric Surgery

Does anyone know of a new requirement by Aetna/US Healthcare QPOS that you have to have a history of failure of medical/dietary therapies documented by an attending physician who does not perform bariatric surgery? I was told by my surgeon that my BMI is 39 but I have enough co-morbidities to get approved. (Hypertenison, borderline diabetic, kneecaps wearing out) I was denied because I haven't tried enough dieting tricks. I was told that I cannot take diet medication because of my high blood pressure. What do I do?

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