How do I go around this wall?

I expected an insurance denial for WLS; but, a denial from my medical group for a referral? My PCP put in a referral 09-14 to see Dr. H. Lewis Smith in Whittier, CA because I had fulfilled the "known" requirements of medically supervised diets. I called her today and she told me that it was denied. She faxed me a portion of what they are to send me and this is the exact wording: Criteria for Gastric Bypass Consultation (the following criterial must be met prior to referring patient for gastric bypass consult) 1) Documented proof of failure of six diets with the previous 5 years, three must be medically supervised, 2) Significant Co-Morbidities and treatment of those diagnoses by the referring PCP for greater than 9 months, 3) BMI greater than 40 (I'm 5'6, 249 lbs), 4) Must be 100 lbs or more overweight for a period longer than 5 years, 5) must be between 19 & 61 years of age (I'm 40), 6) Verification of Health Plan that patient has a benefit for gastric bypass. I'm so upset right now that I don't know what to do? My PCP doesn't believe in WLS - she's the 2nd PCP I've seen and I've already switched medical groups within Healthnet twice. Any suggestions would be very much appreciated... Thank you!

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