Insurance Question

[DRoseman 34]

I am considering Gastric Sleeve and my insurance plan at work lists it as an exclusion. I was considering getting an individual plan as a secondary to help with the cost. Are there any individual insurance plans that cover WLS?

DR Potential Sleever

[DRoseman 34]

I forgot to mention, I live in Ohio.

DR Potential Sleever

[Diana_in_Philly 1,426]

If your insurance is provided by your employer, getting a supplemental plan is unlikely. Unless you have a spouse and can be added to spouse's plan, which does cover WLS.

Your best bet is to wait until the next open enrollment period and see if any of the plans available to you offer WLS as a benefit. If not, there are lots of folks who have done Mexico as self-pay for about $5,000. (I was covered by insurance but there are whole threads on self pay)

Good luck.

[DRoseman 34]

I'm pretty sure it's excluded from my husbands plan also. All of the plans available to me at work lists WLS as an exclusion.

DR Potential Sleever

[PrettyPhat 5]

My insurance says it's not covered either unless you have a BMI 40 and over or under 40 with two major health issues. Are you sure it's not covered at all?

Sent from my SM-J700T using BariatricPal mobile app

[DRoseman 34]

My insurance says it's not covered either unless you have a BMI 40 and over or under 40 with two major health issues. Are you sure it's not covered at all?

Sent from my SM-J700T using BariatricPal mobile app

It is a definite exclusion on my plan, im going to double-check with my husband's employer but if it's an exclusion then it will not be covered no matter what.

DR Potential Sleever