I'm brand new here, very pre-op and stuck. Our insurance excludes bariatric surgery but human resource manager said he believes I have a good chance of obtaining approval. I really don't know what to do first. I am well acquainted with both health and insurance/legal issues professionally, but it seems that when asked to sort such issues out for myself no amount of training or experience makes any difference. I know I will need documentation from PCP and surgeon, will probably be required to do a pre-op weight loss plan, and a psych eval, but until and unless insurance gives the okay, I can't do all of this. On the other hand, until I do some of this I can't get the approval. Right? So where do I start? Congrats on getting your approval. You must be so relieved. It does not make me happy to be required to jump through such enormous hoops to obtain coverage for a highly effective treatment which is medical necessary to treat a legitimate disease.