I have BC/BS of Iowa and my BMI is over 50 so I am working to get it down. They will pay for it only if it is less than 50 even though my surgeon has sent them piles of documentation from other places stating the results after 5 years are the same with lapband and RNY. It is frustrating because I am in this siutation because I cannot stick to or have trouble sticking to a diet and now here I am again in the same boat. So, my surgeon has me talking with the nutritionist ofr 3 months of dieting and then we shall see before he even submits anything. What's the point of doing it all knowing it will be denied.