I'm in my 6 month process (2nd month thus far) and I had to get approval from my pcp first. He referred me to a hospital, but when I called to make an appointment for the seminar they told me they didn't accept my metroplus insurance, so I decided (with careful research) to go with Mt Sinai hospital. They have rave reviews. After the seminar with them, I made an appointment to meet my Surgeon, Dr. Eric Edwards (he's nice and very competent) and I was set up with a checklist. Everything goes through your pcp. Some things you can do with Mt. Sinai hospital, but you have to check to see if it's covered by your insurance. Your PCP should be able to coordinate, but you can help them by giving them the checklist (depends on how your hospital works). So far it's going well. Stay dilligent, because if you don't see your pcp every month for the 6 months, it may mess up your process. I never called Metroplus to see if they actually require 6 months so I'm not sure if it is needed, however I'm just following my doctors guidance and the guidance of my nurse practicioner Amy Chen from Mt. Sinai Hospital's bariatric team. I wish you all many blessings in your weight loss endeavors!