Tiffany,
BCBS required that I do a 3 month diet. My doctor wasn't very strict at all though. I had a form from the insurance company that the doctor was required to fill out each month. I simply made a doctors appointment to get weighed once a month and the doctor would record my progress on the form. At the end of the 3rd month, I turned the forms into my weight loss center as part of my package to submit to the insurance company. I had actually gained 3 pounds:( It's not going to delay me being able to get the surgery though.