does key stone mercy take long to aprove you?

I CALLED MY INSURENCE CP. KEY STONE MERCY , THEY SAID THE COVER THE SURGERY BUT THEY NEED A NESISTY LETTER. WHAT IS THAT, AND THEY STILL DO THAT 6 MONTH PROGRAM? EVEN IF THEY DID NOT ASK FOR THAT? PLEASE SOME HELP ME AND ANSWER MY QUESTION...................

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