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Need private insurance advice

I'm currently looking for an insurance plan that'll cover the bariatric surgery in Virginia. The only one I'm having any luck with is Anthem BCBS. Their website says they exclude it, but I was told in order to get the surgery I would have to get a rider. Does anyone on here know of other insurances in Virginia (other than Aetna, not covered in my area) that'll cover the surgery or can tell me your experience with Anthem in what you had to do or how much your rider was. Thank you.

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  • I'm in Idaho and have Blueshield (BC and BS are separate here). I was not able to find any carrier that offered any kind of individual policy (rider or major medical) that covered WLS. I think if yo

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I have BCBS of Texas, thru a small group policy and it specifically excludes any coverage for WLS or complications. I've never found an individual policy that will cover it. Our State pool plan did a few years back but they eliminated the coverage before I could apply.

Generally, I think your best bet is being on a group health policy - 50 or more employees, not a small group plan.

After ten years of talking and thinking about it, I'm finally going ahead with self pay.

Wishing you all the best.

I'm in Idaho and have Blueshield (BC and BS are separate here). I was not able to find any carrier that offered any kind of individual policy (rider or major medical) that covered WLS. I think if you live in a state that has opted out of WLS, a group policy is the only way you will get coverage. I Ended up going self pay at Obesity Control Center in TJ last December. Best money I ever spent. Good luck....hope you figure things out.

I'm currently looking for an insurance plan that'll cover the bariatric surgery in Virginia. The only one I'm having any luck with is Anthem BCBS. Their website says they exclude it, but I was told in order to get the surgery I would have to get a rider. Does anyone on here know of other insurances in Virginia (other than Aetna, not covered in my area) that'll cover the surgery or can tell me your experience with Anthem in what you had to do or how much your rider was. Thank you.

I have a friend who is considering the surgery in VA and she is lucky to be in a Kaiser service area. They cover it and she got her insurance through healthcare.gov. Good luck! I have Anthem BCBS through the state and they cover it as well.

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Thank you all for your answers. heynowkc, is your insurance through work or private?

@@fordgirlalways Mine is through work (anthem bcbs commonwealth of virginia).

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