Hi there!  I haven't had my surgery yet, but I can tell you what I know about our dr's here in CO and what my insurance says.  I have BC/BS of GA (my DH works for Coke), and I know every state's BC is different, but I don't have to have a 6 mo medically supervised diet.  I went to a surgeon in Feb, and will have a consult w/a different dr in a couple of weeks.  Both just want to know what my dieting history has been in the past, and they'll just submit it to the insur.  The first dr wanted me to bring something to show that I went to LAWL, even thought I hadn't been there in over a year.  This new dr doesn't even want that...he just wants me to write it down.  I believe I should be approved pretty quickly. (you could take a look at my profile to see why I'm going w/a diff dr if you want).  Anyway, I think the insur co's are getting better about not making you provide all this documentation of diets and crap.  I'm from ND originally, and I can tell you when I looked into doing an RNY almost 10 yrs ago, BC/BS of ND wanted 6 months of documentation of PAID weight loss attempts (like WW or something similar).  I couldn't figure out how to pay for the surgery at only 21, let alone be able to pay for yet another diet that would fail first.  So I gave up on the whole idea then, but I think the insurance co's have made progress since then.  Now that's not all the insurance co's, because I know there are lots of people on this board that have troubles w/getting approved.  But I know BC is usually pretty good about it.   HTH.  So where are you in the process?  Hope it's going well for you.  Do you know what surgery type you will have?  I'm planning on the VSG...are there any dr's in ND that do that?  Hope to talk to you soon~ *Angel