I think Postop is asking the correct question Leann. Insurance companies have as their goal, as do all corporations, how to maximize their profits. If they can reject your request...of course they will. I'm guessing you have already resolved most, if not all, of your existing co-morbidities (hypertension, diabetes, sleep apnea,etc.) as a result of your excellent efforts resulting in losing 72 lbs. Grats for that by the way! And please do remind yourself that you have worked damn hard and accomplished a great deal by doing that. Don't fall into the trap of comparing yourself with others and feeling badly about your results, although I understand your desire to reach your goal. I think you may need to go out of pocket to have another procedure- like converting to a duodenal switch. But I encourage you to speak to your insurance company to confirm that. If you do have to self pay, remember that MANY options are available to you. Most Dr.'s allow for financing procedures, and cheaper alternatives such as going to Mexico (such as I'm planning to do) exist. Stay positive lady! Best of luck in your future decisions.