Hi my name is Amy I am getting ready to see Dr.Schumacher in miamisburg ohio who works with kettering baratrics on April 12th. My insurance is molina health care ( of Ohio), my weight is 275 with a bmi of 44.3 how can i get molina to approve having the vertical sleeve gastrectomy, I have asthma, prediabetes (which i am on metformin 2x a day). arthritis, borderline high cholesteral and high lipids along with anxiety and acid reflux . what are my chances of getting approved or am i just setting myself up for a denial?