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I live in ny and have Aetna ppo....for the past year I have had a bmi of 40+. My doctor wanted me to make a list of failed weight efforts, about a year and a half ago I got down to a bmi of 36 but then went right back up. Do you thing I will have a problem getting approved by insurance if I have no co- morbidities but have been over a bmi of 40 for most of my adult life?