I am from upstate ny and have CDPHP apparently they are easier then most m, they don't require any supervised diet so if you meet the criteria boom you're in. I thought I had it In the bag with my high blood pressure. My sister had surgery last year but her bmi was 40 (same ins) with no issues she seems to think on appeal from the doctor they will approve me she thinks it's just a formality that the denied me. I will def keep this updated!!! And if anyone has any similar situation if love to hear any advice. I don't know if I could afford self pay, NY is crazy expensive for everything!!!