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I live in AZ. I have BSBS and they have a six month supervised diet and exercise program before approval. I have gone to seminar and see PCP to get my letter stating it is medically necessary since my bmi is 43 and have slightly high blood pressure. Question is-does anyone know how strict BCBS is with this six month diet and exercise stuff? (It's not like I haven't been dieting and exersizing for the last 10 years anyway!!!!):phanvan