Does any one have Federal BCBS PPO (NYS)?

I live in New York State, and I have BCBS PPO- Federal Employees insurance. My surgery date has been scheduled for 11/20/06 and I fit the criteria for WLS. The only thing is that I have not been on a medically supervised diet in over a year. I have called my insurance company (four times) to see if they require this information and they said no, all they need is a letter of medical necessity. Should I be worried?

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