magnificent2015 34 Posted October 19, 2015 I have about 150 pounds to lose ... I'm currently about 290-300lbs. I was denied by my insurance back in July due to not having been on a 12 month supervised diet ... That has to be cosigned monthly by my primary care. I currently have BCBS Charter Care in RI, but my insurance is actually located in North or South Carolina. I'm wondering if anyone has dropped their primary insurance to get Obamacare. Rhode Island is one of the states that does cover bariatric surgery. I'm assuming that they follow the 6 month nutritionist appointments (which I already have completed along with my EGD & psych eval. & sleep study). I would have continued but since those 6 months weren't validated by my primary care they are pretty much useless for my current insurance. Again, has anyone dropped their current insurance to get obamacare to get bariatric surgery covered? Share this post Link to post Share on other sites
OKCPirate 5,323 Posted October 19, 2015 @@magnificent2015 - when I looked into funding this last year I realized that all the co-pays, my estimated costs would have been over $2500. And depending on how things were coded, the costs could have been much higher. A friend who does Medical Tourism suggested that I should look at self funding in Mexico. $4500 flat fee, none of the stupid classes etc. And to tell you the truth I think the BIG private room was worth the extra costs. Everything was clean and the people were great. (And they don't have all those machines that go beep all the time). So wrap this in to your equation. Hope you get more specific answers. Share this post Link to post Share on other sites
Jangy03253 56 Posted October 19, 2015 Obama care or affordable act. I had to get this coverage after losing my main medical insurance. It was the only thing to cover my pre existing. I am with uhc and in North Carolina. No platinum plans and of course my plan is not avail in 2016. So if u r going to drop private ins to get Obama care you better make sure bariatric is covered and make sure u get it done within 1 year Do not expect your plan to be avail the second year. I have approval but here it is at the end of the year and I'm waiting on pins and needles to see if there is room for me o. The schedule. I would have much rather had Private insurance. Do your research on Obama care. It pays but make sure u know the plan inside and out b4 u chose it or go to specialists Share this post Link to post Share on other sites
magnificent2015 34 Posted October 20, 2015 Obama care or affordable act. I had to get this coverage after losing my main medical insurance. It was the only thing to cover my pre existing. I am with uhc and in North Carolina. No platinum plans and of course my plan is not avail in 2016. So if u r going to drop private ins to get Obama care you better make sure bariatric is covered and make sure u get it done within 1 year Do not expect your plan to be avail the second year. I have approval but here it is at the end of the year and I'm waiting on pins and needles to see if there is room for me o. The schedule. I would have much rather had Private insurance. Do your research on Obama care. It pays but make sure u know the plan inside and out b4 u chose it or go to specialists I'm going to make sure that my current coverage doesn't make any adjustments to our policy for next year. I know my surgeon was trying to get our employer to cover it. I'm ensured by the same hospital that would be performing the surgery. So I will make sure that there isn't an change to our policy for next year. I would much rather stay covered under my dads plan, then have to actually go out & get my own. Share this post Link to post Share on other sites
Jangy03253 56 Posted October 20, 2015 There areaway changes to a policy from year to year but I have learned now that Obama care will go away each case year ???? Share this post Link to post Share on other sites
chuck415 89 Posted October 20, 2015 I can only speak for Kentucky but if your current employer offers health insurance then you are not eligible for the tax incentives offered with the Obamacare plans. From what I have seen the premiums w/o these tax credits are outrageous. Please do your research before dropping your employer sponsored plan. Share this post Link to post Share on other sites