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2014 Exchange Insurance Bariatric Coverage Spreadsheet



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Just found this today! It explains which states currently plan to offer bariatric and/or weight loss coverage on their Obamacare plans: http://asmbs.mediaroom.com/download/State+Exchanges++5-6-13.xlsx

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Awesome! Thanks!

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Very helpful! Thank you - I am scheduled for self-pay surgery in Mexico on 11/11/13 and have to buy a new individual ACA (Obamacare) plan to start coverage January 2014. My state doesn't cover bariatric surgery, but it says it will cover revisions of Obesity surgery when required to correct a life-endangering condition.

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Did anyone else see the irony that out of the top 10 states for obesity, only 3 are going to offer coverage for bariatric surgery?

Edited by Mfs

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Just found this today! It explains which states currently plan to offer bariatric and/or weight loss coverage on their Obamacare plans: http://asmbs.mediaroom.com/download/State+Exchanges++5-6-13.xlsx

I cannot open the link you posted to view the information.

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I can't seem to open the link either, even when I cut and paste it directly into my browser.

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RHW94123....what is the name of that additional insurance that will cover the revision? I need a revision from band to RNY and of course my state Ohio is not on the list of covering weight loss surgery and my employer has an exclusion.

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It's not a link folks, it's a spread sheet. You can download it and look at it.

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Garvey, to answer your question about getting complications from bariatric surgery covered in 2014. My husband and I own a small business and we buy individual health insurance policies for ourselves. To be compliant with Obamacare, our individual policy can no longer fail to cover pre-existing conditions starting next month (Jan 14). Before getting sleeved last month, I wanted to research the Obama-compliant policy I would be getting January 2014 and make sure that it couldn't/wouldn't disallow taking care of me if my ailment was a result of voluntary/elective/bariatric/cosmetic surgery. I persisted until I found the fine print and what my 2014 policies reads is something like "bariatric weight loss surgery of any kind is not covered, but revisions to and care of complications from such surgeries are covered to the extent necessary to remove the patient from peril." (or something jargon-y and long like that). I knew that 2014 policies couldn't "not" take care of you because of a pre-existing condition and--though jargon-y-- I was satisfied by the language that I read that they would now bail you out if you had a problem after self-pay bariatric surgery. SORRY SO LONG -- I was trying to be detailed and I probably just confused you more, lol :)! (An analagous situation that I read in my new policy was that if you had breast implants that ruptured, they would not help you out for cosmetic reasons... but if the rupture was causing an ailment they would care for you/remove/revise just enough to get you out of peril [which I took to mean they would take the old ones out surgically, but not cover to add new ones in the vacant spot :)].)

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