I got the call today from the surgeons offoce to set up my first consult with dietician, insurance petson and dr. the office lady called back and told me if my ins didnt pay for the first consult o would have to pay for it $217.00 which id no prob. I called bcbs and ask them would they pay she said not until it has b een approved. How can the dr send it in for approval when this will be our first visit. So anything before surgery I will have to pay.