Weight Loss Band Surgery

Do you need insurance to get weight loss surgery such as the lap band or gastric bypass?
I have been overweight since I had my children 14 months apart. I never had problems with my weight before this and my metabolism has slowed down. I have tried many weight loss programs and nothing seems to work. I never lose more that 20 pounds or so. So I have been considering weight loss surgery, probably the lap band. I was wondering if having insurance was a requirement or if you can pay completely out of pocket for something like this?
You can always pay out of pocket for any medical procedure.
If you have good credit, many doctors will let you make payment plans as well. Otherwise, you have to pay in full at the time of service.
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