Hi Sandy,
Before my medical group would give me the referral to see the surgeon I had to complete the below steps (in order):
6 mth supervised diet
Endocrinologist (to rule out Thyroid problems)
Psych Eval
Cardiologist
Pulmonologist
My insurance also required the 5 years proof of obesity, the BMI and many other specificatons. Just follow each step and eventually you will make it to surgery. I know it is time consuming and very daunting, but if the surgery is what you want you will have to play by the medical group and insurances rules. It took me 8 months to get my surgery and I had no problems getting the approval after I had jumped through all their hoops.
Good Luck
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~*~CINDY~*~
March 3, 2006 LAP RNY 329/184/179 Going...going...!!! 
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