It takes some legwork on your end...call up each previous doctor to get copies of the records sent directly to you. Once you get them, make a copy for your current PCP. Some offices may charge $25 for your records.
With HMO, pretty much if they approve the consult, then they approve the surgery. The consult is the hardest to get. You have to keep working at it...also....see your doctor every month to get weighed. Have her write notes about your diet and medications prescribed and the results of your efforts. That generally will count as a 6 month medically supervised diet.
I had to go through it all too...it took me 10 months. My BMI hovered around 35-38 for many years before I developed major health problems and evenutally got up to BMI 41 just beofre the surgery. It is possible...keep plugging away.
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