I live in PA and have Keystone Health Plan East Flex POS (the cheapest plan) through work and wondering if anyone has experience, if it was covered, what requirements were needed etc. Awaiting my phone interview (this wed) and trying to figure out if anything would be covered (thinking sleeve at this time, if not the switch because I have to get my gallbladder removed anyways) BMI in the 40's, gallstones, and back pain with family hx of diabetes, high blood pressure and the sorts. My website doesn't mention anything for coverage or not coverage and they were closed when I tried to call. Just trying to figure it all out! Thanks!

Edited February 11, 20197 yr by Alexab92

Every insurance plan is required to supply you with a Summary of Benefits document. Normally it can be found online but can be difficult to find. Occasionally it is in print and mailed, but this has become a rarer thing nowadays.

A summary of benefits regarding your health insurance may have been given to you with hiring paperwork, or during an open enrollment period at your place of employment.

Certainly you can call, but you should be able to have this and know what you would be expected to pay for all tests, imaging studies, inpatient stays, etc.

Every insurance plan is required to supply you with a Summary of Benefits document. Normally it can be found online but can be difficult to find. Occasionally it is in print and mailed, but this has become a rarer thing nowadays.
A summary of benefits regarding your health insurance may have been given to you with hiring paperwork, or during an open enrollment period at your place of employment.
Certainly you can call, but you should be able to have this and know what you would be expected to pay for all tests, imaging studies, inpatient stays, etc.

I have been able to find basic paperwork that states like gyno, therapy, nutrition, well visits etc but doesnt mention weight loss when I googled it it it just mentioned it under things that need to be authorized

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Where do you go to the hospital?