Ok here goes. This is my first post and after reading all the answers above some of my questions have been answered. I have been to the seminar that the surgeon requires, and the insurance advocate (guess thats what she is called) has told me that UHC does approve the gastric sleeve surgery however, I have to have documentation of 2 years doctor visits with weight loss being the main reason for visits. I have been dealing with my weight for over 5 years, and my PCP doesnt document each diet I have tried. She did write a letter saying she knew I was on the diets and how much I have lost but nothing in my records. My sleep apnea doctor did write a letter stating how aggressively I have tried to lose weight in 2 years, only achieving 21 pounds and that the surgery would benefit my health tremendously since I have obstructive sleep apnea and other health problems. So after stating all this, does anyone know if United Health Care will accept what my doctors have sent or will I have to do something else for them to say go ahead. Its like I am approved but Im not approved kinda.