I went through the Nicholson clinic and had UHC which my plan excluded any WLS so I went the hernia route. Insurance pays to repair the hernia and while the doctor is in there he does the sleeve which cost me 4000 dollars out of pocket but my bmi was to high for them to do it out patient so it was done at forest park hosital in Dallas my wife also had hers done but she was able to go through True Results in Plano and have it done outpatient she has UHC also and the financed the sleeve. Dr Rosek done both of our surgeries.