I am so exhausted with Aetna/US Healthcare - I was denied a 2nd time. They say I have a high enough BMI, but no documentation of physician assisted diets. I have tried everything in the past 7 years and nothing has worked. I finally saw a dietician today who is going to work with me for 3 months and if nothing works, then will recommend the surgery. My PCP refuses to put me on any type of prescription diet loss medication due to my hypertension. I am thinking of asking him to write Aetna a letter requesting that this requirement be waived for me. Aetna says I can appeal a 3rd time to a higher level. It will be looked at by an entirely different set of people. I'm just so tired of going through this!