OP here. It took us 2 weeks to find at least 1 counselor in our area that at least understood what he needs to do. I called 5-6 places and they were all confused why we had to go through such thing. plus when I asked I need clearance letter "as a proof" it made things even more confusing...
I do have to agree with many of you... 1) if for some insurance does not covers this, this is unnecessary expense. 2) it is a CYA for fertility doctor 3) another step that does not much help in this process.
well, this is something we HAVE to do to continue with the process so I have no option but do it, but I still feel strange why they make some things more complicated than they are.
Thanks to all, and good luck in your journey.