I had all my clearances with cardio psych primary and I just got a letter from my Dr from 1992 thru 1999 he treated me for obesity unsuccessfully bmi of 40 hope this helps. But I have Empire BCBS and they said they just need Dr to call for pre auth for surgery I dont understand I just left a message with the office I am dying here my blood pressure is thru the roof! Any one have Empire BCBS

Keep calling the Dr until you get a real live person. In the meantime, be looking for another one. Keep copies of everything, have a contact person @ your insurance company, I have fired many Dr's before. This is your life. You have to take charge of everything. Although my Dr's office handled everything, I stayed on top of the whole process. It took about 10 days for me to be approved. I was told it took 15 to 30. I made sure that my paper work did not just sit on someone's desk. I have Aetna insurance and they required you jump through several difficult hoops. Sleep studies, psyc eval, 2 plus years of obesity documented by your PCP, some weight loss, nut visits, work out program, monthly weight checks done 30-31 days apart for 3 months. My Dr had me on 4. I had ntp pass the nut and psyc eval before my Dr would even submit. Stay on top of them and dont give up.