I have BC/BS of GA Federal PPO. I had a BMI of 35. I had to get a letter of neccessity from my doctor stating my comorbidities and that she felt Lapband Bariatric surgery was by best option. I also had to write a letter detailing my various attempts at weight loss along with starting/ending weights. I have asthma, arthritus, sleep apnea, and lymphadema. After sending all information in, I got approval to do the surgery(took 2 weeks). There is hope.