Pcp letter

[Sleeveme2011 0]

For my insurance my PCP has to write a letter stating this is medically necessary. Just wanted to know if some of you may have an example of what your PCP wrote and submitted. Thanks

[Tiffykins 673]

This is one I have saved from obestiyhelp.com

To Whom It May Concern:

This Letter is a formal request for approval for Bariatric Sleeve Gastrectomy, for my patient _____________D.O.B______.

__________ is Xfeet and X inches tall and weighs XXXpounds. Her body mass index (BMI) isXX. She has been diagnosed with morbid obesity (CPT code: 278.01), since ____. She is having significant adverse symptoms as a result of her obesity. She is having difficulty standing and exercising due to the significant impact of the excess weight on her body. She has difficulty performing any daily activities and in participating with her friends and family in recreational activities.

She has been diagnosed with ____________________. The effects of these conditions are severe, and can be life threatening. Co-morbidities have proven to be expensive to treat and sometimes incurable. Research has shown that weight loss is not only cost effective for the insurers, but for the patients as well.

_________________ has made numerous weight loss attempts, including:

• South Beach Diet
• Weight Watchers
• Curves
• Transformations medical weight loss
• Michael Thurmond
• Certified nutritionist consultations

Based on ____________�s medical history, it is highly recommended she undergo bariatric surgery. In my professional opinion, it is the only way to improve her health conditions and significantly improve her lifestyle. If you have any questions or concerns, please do not hesitate to contact our office.

Sincerely,

MD

[emily_0192010 168]

I was told that when asking my PCP to write it it could even be as simple as writing it down on a script... but I have Aetna and they seem to approve pretty easily.

[Sleeveme2011 0]

Thanks ladies