Just had surgery and I have highmark BS here in PA. Finished the 6 mo nutrition classes and psych eval plus other clearances. I was worried cause bmi was 38 and my other health issues were all borderline with little treatment or medications to date but it was approved in 3 days and I had surgery last week! One hospital said I wouldn't get approved and I went through another hospitals weight loss center last august and now I'm post op!