so my BMI was only 35 but i've been struggling ever since i was a kid! so my primary doctor wrote a real good letter to my insurance company stating all the diets and all the fitness, gym and alllll other things that i have tried so far. i actually got 2 letters from my primary doctors and send those in ... it TRUELOVE help and i was just approved!
in a way put yourself in the Insurance shoes and try to convince yourself why they should pay for your surgery. you have provide evidence and make them to realize that you NEED to have the surgery it's not a WANT.
my whole packet was about 50 pages of all kinds of receipts, gym memberships , Lindora, Weight Watchers and whole other diets that i've tried so far.
good luck! : )