Why does it seem that BCBS of IL has different requirements regarding approval ?

I read profiles all the time. I am currently waiting on a response from BCBS of IL PPO regarding approval or denial. I have braced myself for a denial because I already know that from 01/03 thru 12/03 I did not have a supervised diet on file. I recently started a program 01/04 and I was content knowing that I should have the 6 months of supervised diet by 07/04. I read other profiles and from what I gathered I would need 6 months worth. Why is it that some AMOS members have requests from BCBS for 6 months of diet and some have 12 months? Isn't that suspicious? Sometimes they say supervised diet only, and/or nutritional counseling, behavior modification, increase in activity while being monitored and maintenance support. It can be just one of these requiremnts, two of those or all of them. So it seems like it is differen requirements for different people. What can we do as the insured, if anything? I had called BCBS in the past and asked them for written documentation of what they needed on 01/05/04 and I was told they didnt have anything in writing to send me regarding their requiremnts. I had never heard of such a thing. I assumed all insurance companies had a handbook with the explanation of benefits for your policy either on paper or online for us to review. Is their anything I can do as a policy holder to make sure I am not being treated unfairly when it comes to making a decision for WLS? I know I can hire a lawyer, but it doesnt seem as though BCBS is affected when a lawyer gets invloved.

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