I have Bc/Bs of Tenn and the requirements are diff for each plan. mines wants me to loose 10% of my total body weight. Others that I heard of was 6 months supervised diet but they do not include the 1st month as a full months so it si REALLY 7 months. Also on the denials.. The DR's office should help you find out why it was denied.. you should not have to be going thru this process alone.. they are getting paid for the surg so they are in the business to help you so that they can get their money.
I am on the 10% and have 10 more lbs to go.. I have done everything else upto this point. Me and my 2 other firends are going it together.. it helps because when one get a denial and finds out why, the other can make sure they dont get the same denial..
P.S. Appeals can be submitted by the DR'd office OR by yourself.. I have been told that the chances of you getting an appeal overturned and approved is better then the DR's offcie..
Keep up the good work and STAY STRONG! this is an illness and the health insurance companies are starting to see that, just not as fast as I would like them to is all..