I had to do 3 month's of weigh-ins and a psych eval. After those were completed, I had blood work, chest x-ray, and EKG to complete. Once all the results of that were completed they scheduled me for a Endoscopy. The doctor's office called me about a week after the Endoscopy results were in and they told me that they were submitting all my paperwork to the insurance company. It took another 3 weeks before I received the call that I was approved by the insurance company and the surgery was scheduled 3 weeks later.