It's a valid concern! I ended up being self pay because I had only a 2 lb buffer to work with and decided it was too risky. I was drinking sweat tea every day in an effort to maintain, but felt awful. So I decided to pay cash, switched Dr's and said to heck with insurance. Much less stressful. I feel your pain, I wasn't cut out for that level of stress Sent from my XT1254 using BariatricPal mobile app