TNicole85 5 Posted August 9, 2014 So someone told me if I can not meet the requirements for wls because I can not provide proof of 5 year weight history, that I can switch to another insurance during open enrollment who does not require this and continue the process. I. E. Signing up for insurance directly through the carrier instead of through my employer. Does this make sense? Can I do that? I'm trying to keep my options open. Share this post Link to post Share on other sites
Cupcake 801 Posted August 9, 2014 Hi I would investigate before during this my friend switch insurance and she now has to wait a year, research your insurance as well as the new one and find out good luck. Share this post Link to post Share on other sites
Jersrose43 837 Posted August 9, 2014 Don't know who told you that and what circumstance. But if your employer coverage denies you, you appeal and are unable to win, then purchase insurance through obamacare but do the research and confirm if they will cover and requirements. No need to drop employer coverage. Share this post Link to post Share on other sites
chasingpolaris321 214 Posted August 9, 2014 Also, if you switch to health insurance through the ACA be very careful that weight loss surgery is included. There are only a handful of states with WLS plans and most states exclude it. Share this post Link to post Share on other sites
TNicole85 5 Posted August 9, 2014 Thank you everyone for you response. I may just be over thinking it at this point. I feel "desperate" and just trying to do too much. Share this post Link to post Share on other sites
Jersrose43 837 Posted August 9, 2014 Thank you everyone for you response. I may just be over thinking it at this point. I feel "desperate" and just trying to do too much. I am curious as to why you need documentation of 5 years of being overweight that's a new one. Share this post Link to post Share on other sites
TNicole85 5 Posted August 9, 2014 According to the insurance woman, uhc requires that under my employer which is jpmc. Share this post Link to post Share on other sites
ayscott74 99 Posted August 9, 2014 Most insurance from what I know only require 2-3 year of your highest weight from that year. Like everyone said do your research about the procedure that it will be covered. Because 5 year is a new one for me too. Share this post Link to post Share on other sites
Jersrose43 837 Posted August 9, 2014 Call your insurance yourself. Get a copy of the medical policy and see what the requirements are Then also go get some pictures of yourself over the five years and see if they will accept it Lastly I am sure you had an emergency room, urgent care, whatever - go gather those medical records. And your ob/gyn Share this post Link to post Share on other sites