HI everyone. I'm new to the site. I started this process back in February. I did my 6 month medically supervised weight loss already and I finished up in August. My surgeon submitted all the paperwork including all the pre-op testing and evaluations. The insurance denied it saying everything was in order except that they needed a letter from my primary saying that they recommended me for surgery. Seriously! After 6 months of weight management plus giving me a clearance for surgery they denied it for no formal letter. We submitted that letter over a weeke ago and we are still waiting to hear back. Hopefully I will have a date soon!