Yes! you can get approved I did, asthma (prednisone dependent), high blood pressure (on two medications), and numerous attempts to lose weight through diet and exercise. All of the above documented by my doctors and my doctors wrote letters to my insurance company. I have a friend who used ankle weights under her jeans to weigh in at a 40 bmi. She did not have any other health problems and her insurance refused her the first time. Where theres a will theres a way! hang in there and best of luck to you.