Joint Pain is considered a comorb. Aslong as your doc has it documented, etc. I have BCBS. Had a 5 yr weight history, Psych eval, 6mo supervised diet with my PP, etc etc. Goodluck! Stay on them, push & push. The best advice I was given was "stay on your insurance company, where they know you as a person, and not just another case." Worked for me I called them every other day for a week, and got my approval. :thumbup: