I have Aetna and i was worried about the same thing! I would NEVER go to the doctor because i was way too embarressed to be weighed in front of anyone. I weigh 300 now and the last time I had been to the doctor was in 2007 when i weighed 245 which put me right at a bmi of 40, did the 3 months of weight loss visits (even though i gained EVERY time) and was approved on friday and am scheduled for surgery june 10th! i am going through True Results in Houston and if you havent found a doctor yet, they really have been so great to me. My patient advocate Cindy is the sweetest lady ever and doesnt bullshit. she has gone above and beyond for me and really wants to do anything and everything she can to get the ball rolling.