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hi there. the insuranced approval is pretty much a piece a cake or was for me....basically as long as you have a doc office who does a good job of summarizing your monthly charts when u do your monthly visits..basically stating and convincing that you are moving in the right direction towards a healthier lifestyle...if you have all those things notated in an orderly fashion you will be approved....i was approved in less than 24 hours..so u will be fine just make sure ur doc office who will be coordinating ur monthly supervised visits does a good job with record keeping for the sake of your approval....common sense will tell them to be good at it so they can get paid in the long run!