Hi Jay,
There are several different factors to consider. I found the best place to start was not necessarily a doctor's appointment. I started with a seminar at the Bariatric Center closest to my home. It was mainly informational. The next step (I found out I did it backwards) was a consult from my primary physician. At the seminar I filled out the insurance information and we went from there. My Center knew all the insurance requirements for various companies and they emailed me with all the information about requirements for insurance and requirements of the surgeon (ie. all the studies that had to be done first) and what payments I would have to make out of pocket. Then it would have taken six months to complete my insurance requirements before surgery was actually scheduled and they said it could take about two months depending on how busy the surgeon was before I actually got a date. As it turned out I happened to get a date much faster because I had met so many requirements already. Some people have had to wait longer and some shorter depending on insurance. Use the time for studying up on what you have to do to get ready. Ask questions, do internet searches, and check out your physician and what success he or she has had. Try to find a Center that offers a support group. Good luck. Remember bariatric surgery is a tool, you still have to do the work and follow the rules. Joy