Big Guy Tri

Letter of Medical Necessity written by my doctor

March 17, 2010

Re:        Jonathan Meyer
DOB:     5/14/79

Dear Sir or Madam:

This letter is in regards to Jonathan Meyer and in regards to medical necessity for weight loss treatment. The patient is 30 years old, he is 6'5" tall and weighs 347 pounds. This gives him a body mass index of 41.3 which qualifies him as being morbidly obese. His medical history is significant for sever sleep apnea which has been treated with CPAP for some time now. This patient has had ongoing long-term issues with his weight and has been recalcitrant to lifestyle modifications and diet modifications. Because of his severe weigh problem exercise is very difficult and challenging given shortness of breath and joint pain and his sleep apnea is ligel directly related to his morbid obesity. The patient is highly motivated to change his weight but, unfortunately, with attempts at weight loss to date he has been unsuccessful. I have recommened the patiet pursue medical weight loss management at the Jewish Hospital Weight Loss Center and he is, again, motivated and interested in pursuing this as an option. Given his morbid obesity, waiting for treatment any longer will just leave him open for severe co-morbidities including diabetes, coronary disease, osteoarthritis, hypertentions, stroke and kidney disease, as you know.

I would strongly recommend that the patient be considered for approval for insurance coverage of his morbid obesity and medical weight loss management.