I have BCBS of Michigan. I had to pay $1100 up front-copay. I thought this was a deal. My BMI was just below 40, but have hypertention, sleep apnea and elevated A1C. Also have a lot of joint problems.These problems allowed me to have coverage for the major part of the surgery. I have not received the billing, so I don't know the total cost of the surgery. I have lost 12 pounds this first 10 days post op.