Hi, I also need 6 months of weight loss counselling (I'm 3.5 months into that) which I see my family doctor for. My ins allows a family dr to do this since I am "out of area." He seems to think if I don't lose 10-20 lbs in the 6 months that the ins will deny me because it will appear as if I am not dedicated to change. Was this your experience also? (FYI my dr knows nothing about my odd-ball ins but thinks they all work that way.) DId your ins expect you to lose weight first?