I have Cigna PPO I believe.
I had to attend a seminar, have an initial consultation, general blood work, a manometry, endoscopy, ekg, meet with a physical therapist, meet with a nutritionist and do 3 months of weight management. I also had to attend an informational Q&A.
I know for sure my insurance required the 3 months of observed weight management but the other things might have been a requirement for my surgeon.
Cigna took about four weeks to approve me.
I have really bad anxiety too! I have been going through this process for about eight months and the only way I have gotten through it is to take it one day at a time and one step at a time. It will all be worth it!