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It's great news that they cover WLS if it's medically necessary! Your doctor will be able to prove it. I think a BMI of at least 40 is what they look at. Mine is 47-48 and I don't have any "real" co-morbidities. I think that the insurance company also wants to know if you've been big for at least five years and tried to lose weight a few times. If you fall into that category, I bet you'll be approved! You may need to do the six month diet, but it goes by faster than you think. This is so exciting!