Kathy, thank you sooooooooooooo much for the info you provided. I called my BCBS today. At first her answers were very vague then I told her what you said on here and she then she admitted the 6 mon supervised diet was not required. I'm still having a problem with the bariatric center. They still think it is required. I don't think they know what they are doing..anyway, tomorrow I'm going to the office and talk with them in person and I'm going to ask them to submit my paperwork to BCBS. I have the 5 yr wt documentation, Bmi 44 plus two co morbidities, and I listed several wt loss attempts in the past which covers the failed conservative treatments. Hopefully I will be approved...thank you again for your help