Call your insurance and ask them what they require for you to get authorized for a LapBand. You have all the power as it is your insurance and you can educate yourself with what you need based on what they tell you. I handled all the calls to the insurance prior to even seeing our surgeon, for my husband and I. Both of our insurances were more than willing to send us the documentation to give to our Internal Medicine doctor so that she could insure we had our bases covered and the correct testing. Don't be afraid to call, you just need to let the insurance representative know you are calling to verify what you need to have a LapBand done. I work in a Center of Excellence and had issues with the surgeon's office losing paperwork, etc. I got a note book and wrote down every time I called the insurance, the physician's offices, and when we had specific testing. It worked well because I could refer back to who I spoke with, the date and time Arm yourself, don't trust your health to a receptionist Best of luck