I do think this is a great move on Medicare's part. Focusing more on preventing diseases and costs incurred with obesity is moving in the right direction. As a medigap plan broker, I often see obesity play a role in what choices are available whenever I help clients look for lower priced medigap plans. There are several companies that offer plans with no height and weight requirement, but those premiums tend to generally be higher. Those plans using a more strick underwriting guidelines tend to have the cheapest premiums. Bear in mind, the government standardized these plans years in the past, so each plan must give the same benefits and pay claims the same. It's like buying cheerios at Walmart or your local grocery. In either case, it's the same box of Cheerios. Hope this can help. - Heather