I have Compass Rose Health Plan (a federal employee plan).  My brochure states bariatric surgery is cover under the following conditions:

"Surgical treatment of morbid obesity (bariatric surgery) – a condition in which an individual (1) is the greater of 100 pounds or 100% over his/her normal weight (in accordance with our underwriting standards) with complicating conditions; (2) has been so for at least five years with documented unsuccessful attempts to reduce under a doctor-monitored diet and exercise program and (3) is age 18 or older."
 
I finally got through all the testing and such with the DR and my precertification was requested, and the insurance is asking for proof I did a 6 month supervised plan within the last year.  That's not what the brochure states.  Further, I called and spoke with multiple people (getting multiple interpretations of the policy and none of them would provide me with info in writing).  One of the answers I got that I agree with was that as long as I had a monitored plan (of any length) within the previous five years, I would be covered.  I submitted paperwork with a 3 month plan from 2008.

I give all this background because I have a feeling I am going to be denied.  I recently started to visit the Dr monthly while doing weigh****chers just in case, but I don't want to wait another 4 months.  The timing would be bad.  Is there any point to appealing the decision based on misleading information in the brochure and misinformation from the customer service reps?  I appreciate any insight.