I looked up a surgery center on my own its called, BeLite they scheduled my surgery within 2 weeks. Emailed and faxed all my paperwork. No referrals, they walk me through every step if the way. I currently have MediCare which covers 80% of the surgery and the hospital makes payment arrangements for the 20%. All that I am required to pay is a small fee to the physician and nutrtitionist at the time of surgery. And my flight roundtrip. It's located in Las Vegas, NV. I live in Ca. Depending on the state you live in and your insurance, can determine what " hoops" you are required to jump through. I am spared the hoops because Nevada doesn't have the hoops. I'd google them and call to speak to a consultant. They were very encouraging and got the ball rolling and I am preparing to go on the 4th, surgery the 5th AMD home the 7th, they provide transportation for me to and from airport, to my hotel, to the hospital and back afterwards to my appointments and airport. Provide the meals and I can have my support person stay with me in the hotel as well. Pretty sweet deal and I am so excited. Hope this helps! The surgeon is Dr. Thomas Umbach you can Google him.