My surgeon’s office mentioned that my insurance (Aetna) has started being very picky with VSG surgery approvals. The office had submitted for my surgery last week but then canceled, because they didn’t feel comfortable quite yet and want me to get a sleep apnea test done. I was at the required BMI 41 at my consult and started to lose weight right after to lose 15/20lbs required for surgery. They feel because I’ve lost weight so quickly in the past and now they may not approve, I don’t have any huge medical issues. I’ve battled with obesity my entire life and have lost and gained weight since I was in middle school. I’ve done every diet out there, but my body has started to react to diets suddenly. I suffer from severe migraines and dieting flares them up really bad. So I chose to do a VSG. I’ve done all the required testing and didn’t do a sleep apnea test because I was at the required BMI. Now they are saying it’s best I do it. I don’t think I have any sleep apnea issues. So I don’t think I’ll fail the test. I’m so stressed and annoyed, I can’t afford self pay. Any advice is appreciated.