Have the Dr. recheck your height... I was denied by UHC due to a 38.9 bmi and no co-morbidities.. Had my sleep study done and it came back that I have obstructive sleep apnea. Also had the dr. check my blood sugar levels, seems that I am pre-diabetic ( diabetes also runs in my family). He wrote me a script for metformin and told me it was my choice to use it or change up my diet..chose to do it on my own as I never really had signs of low/high sugar levels. biggest kicker of all was my height.. always thought I ws 5'8..turns out when I asked to be re-measured I am really 5'7 which makes a huge difference with the BMI #s..(put me over 40) this was all charted and sent in to my patient liason who did my appeal to the insurance for..1 week later I was approved for the 25th of Oct. good luck w/ your appeal..keep fighting, just make sure u get all the paperwork and everything in order before sending in your appeal... Chelaine