I have BCBS of Illinois and medicaid as a secondary insurance. What I was told is that the actual doctor visits and surgery are covered by my primary insurance and medicaid covers what they won't (not for the surgery itself, but for the copays and deductibles). I have about $1500 I have to pay for my deductible and out of pocket expense, and medicaid is paying all but $150 of it. So my actual out of pocket costs are $150 for the sleeve. Not bad (I live in Colorado, so their medicaid is amazing).