Thank you everyone for your input. I have spoken with BCBS and they are still requesting the 6 months of medically supervised weight loss..........but the good thing is they have always requested it and with BCBS of Michigan they do not rrequire pre authorization. I spoke with benefits coordinator at my surgeon's office in Port Huron and she said as long as I had a letter from my doctor I would be fine. I am going to bite the bullet and speak with my doctor on Monday as I feel that I have this required documentation.