I had a response within a few days but it was denied. They said that I have never tried a medically supervised weightloss clinic. So they are telling me I'm denied and I'm thinking if I go to this supervised weightloss clinic then perhaps they will approve me. But tomorrow morning I do not know who to call, the surgeon's office? , to see what I do now. I know I can appeal it, it mentions that on the back of the letter but I feel I need to speak to someone for advise....Thanks for any advice., Marybeth