Evelyn, I hope the letter from your GYN helps. Even though I'm not on medicaid I felt that my pcp would laugh at me since I'm "only" 100 lbs overweight and my BMI was 36. The pcp was very understanding so the next step was the surgeon, and again the same thoughts went through my mind. As he put it the BMI could muck up the works but my co-morbidities should offset that (sleep apnea, high blood pressure, diabetes, arthritis).
Lo and behold it did! I'm scheduled for 11/21. I'm telling you this because miracles do happen! I'll pray for you.
Lynn