PEIA is very strict, you don't have to have all the co-problems to get approved.
I saw where someone else is going to Dr. Shinn, that is the DR. that did my surgery.
Get your primary care doctor to refer you to Dr. Shinn, CAMC Weight Loss Program (Pre surgery)
they will start you on a program, the most important part is your food log, be honest, spark people is a good site to get started on. This will last for a year, you will meet monthly with a dietician who will monitor your progress, give you support and tips on weight loss, this will last a year or until you lose the 10% of your body weight. These people know what to do and how to deal with PEIA and how to present your case to get you approved.
They also have a medical non surgical program you and your physician may wish to check into
before getting the more invasive procedure.
Dr. Shinn and his staff are top notch.