why are there so many "different" requirements

[nervous2013 2]

I know for Insurance reasons there are different requirements however my only concern is I already had my chest xray, ultrasound, bloodwork & physc eval. I am reading alot about people having to do upper GI's or sleep evaluations, swallow tests etc. Im having it at the 4th best hospital in the nation Im just concerned why I dont need those tests as well. I have one more meeting with surgeon then they will schedule my surgery .

[SoccerMomma73 1,867]

I had basic labs and an EKG, and 3 stool cards to look for blood, he made sure my pap and mammogram were up to date. That's it!!! Because I have no asthma and am a non-smoker I did not see pulmonokogy. Because my labs and EKG were okay I did not have to see cardiology. I'm under 50 and had no blood in my stool so no colonoscopy. No reflux or GERD so no EGD. I have no history of sleep apnea or sleep disorder and qualified for the RNY without needing additional co-morbidities so no sleep study . Part of it is what my insurance did not require, part of it is just how my surgeon does things. If I had been diabetic or a smoker I'd have had a lot more testing

HW 312, pre-op (RNY) 255, current weight 198

[kkelly37 21]

It's mostly insurance. All my surgeon required was an egd done by him to look for possible complications and obgyn to be put on birth control (and a promise not to get preggo for. 2 years lol). My insurance required approval from cardiology, Pulmonary, a leg ultrasound, a sleep study, and a letter from my pcp. It had nothing to do with age or condition, insurance just required it. I'm only 23 and have never smoked, not diabetic, no family history of sleep apnea... My insurance just required all the tests for everyone. Which dosent make sense because that's more money out of their pocket but that's how it is.

[Mid West 99]

I had an ECG and some blood and urine tests. No chest x-rays, sleep tests, colon tests, scans or anything else :-) I'm self-pay in the UK and I sometimes wonder if the insurance companies in the US make you guys jump through so many hoops so that there's more opportunity to turn people down - maybe that's cyncial but that's what it's like over here on the NHS. It's almost impossible to have WLS on the NHS over here. I just thank God I was able to pay for it.