i was denied the first time by cigna ppo. they said they did not fing it medically

necessary. my bmi is 45.9 and i weigh 320 lbs. i have arthritis in my back and beginning in my knees, shortness of breath, diabetes and heart disease in my family and i am fatigued all the time. went to btc in ypsilanti, mi. and they seem to think i will have no problem getting approved. i'm a nervous wreck since i've been denied once already. does anyone know what my chances are of getting an approval this time around?

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