I too have BCBS from a state different than where I live, because our home offices are in TN. Their requirement was 6 months of weight-loss counseling before they would even consider paying for my WLS and there was no guarantee they would pay for it even then. I wanted the least invasive surgery possible which was Gastric Plication, which is NOT covered by any US insurance. Even if I had gone for the Gastric Sleeve and BCBS covered it, I would have paid over 3k more, to have a surgery I didn't really want, than I paid going to Mexico. Dr Juan Lopez thru BariatricPal was my surgeon in Tijuana. I could not have chosen a better Dr. He actually listened to and accepted my reasons for wanting the Gastric Plication rather than the sleeve. Surgery was flawless as was the care I received while there. The whole BaritricPal team - coordinators, doctors and hospital staff - all spoke English. So if going to Mexico for WLS is scary, do a lot of research and reach out to those of us who have gone to Mexico. It took me 6 months to make the decision - Dr, coordination team, money etc - and I do not regret going there.