Antez, I have BCBS Anthem too. I have done the seminar, a support group and met with my surgeon. He wrote the letter to show medical necessity. I called the insurance company on Friday and they haven't gotten the Dr.'s letter yet, but I asked what the requirements were. She said that the requirements were your BMI and co-morbidities. I don't know for sure, but my fingers are crossed. My surgeon said he thinks I'll be approved within the week. I'll let you know how it goes. I figure, either way, the time will pass and I can be proactive or just keep packing the pounds on. I'm trying to be proactive!