NJ Obamacare coverage...

[MeredithMcFee 98]

Wondering if anyone in NJ who is covered under Obamacare has had bariatric surgery such as the sleeve, lapband, etc?

[angelstwo 11]

Yes I had sleeve surgery using an Obamacare health insurance plan. My plan was and still is Horizon BCBS Advanced EPO Gold.

[MeredithMcFee 98]

Angelstwo, thank you for your reply. I greatly appreciate that.

[Soli3l 30]

Did you have any issues with this insurance and finding a doctor that takes this insurance?

[angelstwo 11]

I did not have any problem finding doctors who accepted this insurance. But I just found out Horizon is discontinuing this plan in 2016. I will have to research the available plans for 2016 to find a replacement plan.

[angelstwo 11]

I just did some quick research on the plans available for 2016 from Obamacare. I only looked at Horizon plans since they are the easiest to use in extreme southern NJ. It looks like most if not all will be covering bariatric surgery next year.

[MeredithMcFee 98]

Just my luck! Oh well!

[angelstwo 11]

I think you misunderstood - they are covering bariatric surgery at least the Horizon Omnia plans I looked at (Omnia Silver HSA, Omnia Silver, and Omnia Gold). I did not check all their plans or the plans offered by Amerihealth or Health Republic.

[MeredithMcFee 98]

Thank you for clarifying that for me Angelstwo. I'm in the process of checking out insurance's as I lost my job and will lose my health ins within 2 weeks.

[Soli3l 30]

I searched those plans they offer coverage for in network doctors only no out of network coverage...which I think my doctor is out of network.

[Soli3l 30]

Obamacare or any personal health insurance you purchase usually does not cover Out of Network costs. My surgeon only takes United Healthcare Oxford which I can purchase, but the hospital he does surgery is out of network.