Affordable Care Act in Illinois 2018

[Sosewsue61 3,185]

Well. My carrier dropped out of the ACA and I have only ONE carrier to choose from BCBSIL and the 4 plans suck, coverage is lousy specialists only covered at 50% after deductible (old plan was 80%), premiums/deductibles are higher for a the closest plan.

My bariatric physician is not in-network, he is the ONLY surgeon for over 100 miles (- well there is one and he only does the lap-band.) So so so glad I already had my surgery.

Still I have an eye condition - ROP from being a preemie and had laser surgery this year from a vitreous hemorrage in June and today - I have a vitreous hemorrage in my eye while out shopping. So I have pepper and black snake floaters in the vitreous Fluid, also filmy vision, and an eye 'headache".

So looking at another laser surgery on the blood vessels in my eye. I can only see out of that eye, scary sh!tty sh!t.

I will probably not post very much for awhile.

Sue

[shedo82773 1,236]

I'm so sorry! I hate anything that bothers my eyes. If they are acting up it throws me off my game so to say. I hope everything works out for you!!

[Tess530 37]

I'm sorry to hear about your problems! I do understand some of what you're going through as I have to drive nearly four hours to get my surgeon and his team. I also have difficulties with my vision.

I've been lurking this forum, and YouTube, and feel as if I know you. And although you don't know me, I wanted to wish you well. I pray that you heal and recover quickly! 💜💜💜

[OutsideMatchInside 10,166]

Yeah, the Illinois marketplace plans have gone to hell since 2015.

Sorry your options are limited. Good luck.

[Mattymatt 491]

11 hours ago, Sosewsue61 said:

Well. My carrier dropped out of the ACA and I have only ONE carrier to choose from BCBSIL and the 4 plans suck, coverage is lousy specialists only covered at 50% after deductible (old plan was 80%), premiums/deductibles are higher for a the closest plan.

My bariatric physician is not in-network, he is the ONLY surgeon for over 100 miles (- well there is one and he only does the lap-band.) So so so glad I already had my surgery.

Still I have an eye condition - ROP from being a preemie and had laser surgery this year from a vitreous hemorrage in June and today - I have a vitreous hemorrage in my eye while out shopping. So I have pepper and black snake floaters in the vitreous Fluid, also filmy vision, and an eye 'headache".

So looking at another laser surgery on the blood vessels in my eye. I can only see out of that eye, scary sh!tty sh!t.

I will probably not post very much for awhile.

Sue

If it helps any, I understand. Sometimes it feels like for every step forward, I take two steps backward. Hope things get better soon, but as bad as things might feel, you're still 30 pounds lighter. To give you an idea that's 2 15 pound bowling balls lighter!

Edited November 18, 2017 by BlackCatMatt

[FluffyChix 17,413]

@Sosewsue61 ((hugs)) I'm so sorry you're now dealing with another surgery and complication of your eyes!!! Gosh wish I could help, but I will pray so much!

Insurance stuff SUCKS!!!! Hugely!!! I'm sorry you have to travel so far to an in-plan doc. But you should perhaps try to get an out of network doc close to you on the grounds of medical necessity. With your vision impared, that should be do-able. It will just take referrals from your GP and paperwork to prove the medical necessity. Still doesn't keep the situation from suckage level though!

On the positive side of things, I can only believe the hemorrhages will improve with further weight loss and stabilization of blood pressure. (At least, that's what I'm praying!) And that there are no lasting vision deficits as a result of this latest leak. Take care of yourself and rest!!! We'll leave the light on for you when you're healed and ready to come back and play!