Yeah it’s different with every insurance. Mine changed requirements in March to 12 visits. 1 initial counselor visit then 3 additional for mental preparation for surgery. 8 dietician appointments. It was originally 180 days with dietician visits monthly and only one counselor appointment.This is my first appointment and It’s with the surgeon. I plan on getting the VSG surgery. I’ve talked to my insurance about the requirements and they didn’t mention anything about a 6 month requirement? , people have said that their insurance company requires them to do 6 mo before the will even approve or deny coverage.