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Diet, Nutrition & Weight Loss
Reply to "Doctor won’t write appeals. Changed insurance and was denied GLP1 coverage (even thought i was already on it)"
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[quote=Anonymous]I’ve worked in appeals for a decade. You are entitled to do an appeal as the member. It is crappy that your doctor won’t do an appeal. Have you not lost 5% of your body weight? Get your medical records from your doctor from about 6 months since before you started the GLP-1. Write a letter outlining your weight loss efforts/failure pre GLP-1. Note date of starting and height/weight/BMI. Note an exercise plan (even just walking) note a diet/nutrition plan that you are doing concurrently with GLP-1. Doesn’t have to be complicated. No dessert, no soda, focus on protein and vegetables. Note your current height/weight/BMI and percentage of body weight loss along with with dose you were on and the plan (continuing to titrate up to highest dose, etc) Good luck. There are timelines from the date of the denial so read the denial letter carefully and get the info sent in quickly. [/quote]
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