Question:
I need to file 2nd appeal and need help (samples of letters etc.)

Can anyone please help me with an internal appeal letter to send to PHS. They are denying me due to lack of 2 yr diet history. Have just over 1 year with pcp and 18 month with OBGYN (on restricted weight gain with preg)Please help. Thanks.    — JERSEYGIRL723 (posted on March 14, 2002)

March 14, 2002
Do you have any diet history with previous doctors? If so, you can get your records from them. If you sign a release with your current PCP and they ask for the records, it won't cost you anything. If not, does it have to be physician-supervised weight loss attempts? If so, you may not have grounds for an appeal. And, if you only need 6 more months, you could have your doctor put you on a diet and then reapply in 6 months. If the 2 years of diet history is clearly spelled out in your policy and you don't have it, your appeal is unlikely to be successful, but 6 more months would be worth it, at least to me.
   — garw

March 14, 2002
I would have to agree with the other poster .... the insurance companies have very strict guidelines they follow in order to determine your claim. If they require a certain length of time on supervised diets, you have to have documentation of that, even if you've been on a million "unsupervised" diets before. I agree ... you've only got a few more months and you'll qualify. Just have your doctor put you on a diet and document that he/she has done it. Good luck! I'm sure glad my insurance company didn't require all that!!!!
   — Terissa R.