I have anthem bcbs of ca and I had to do 6 months with a nutritionist but was able to do all the other requirements while doing the 6 months. I have 1 appointment left with nut then I have my pre op testing a few days after that. I didn't loose any weight with in the 6 months, if any a pound or 2 those with my insurance have you heard them decline because you didn't loose weight? Sent from my LG-M210 using BariatricPal mobile app