Sample Insurance Letter Of Medical Necessity

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Mercy Bariatric Services
ATTENTION: ALL PATIENTS WITH
*HUMANA
*QUAL CHOICE
*HEALTH ADVANTAGE
Insurance companies have STRICT GUIDELINES that must be met
before allowing coverage for bariatric weight loss surgery.
Please take the attached letter to your primary care physician as
soon as possible, and ask him/her to write a letter of medical
necessity for you which address the specified points.
Thank you!

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