Does obamacare cover gastric bypass surgery

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Does “Obamacare cover gastric bypass, gastric band, or gastric sleeve surgery ?”

Obamacare Weight Loss Surgery Coverage by State (Affordable Care Act)

Obamacare weight loss surgery guidelines require insurance companies to provide coverage for all individual, family and Small Group plans (plans with 50 or fewer full-time employees) only in states where bariatric surgery can be called an “Essential Health Benefit”. Essential Health Benefits in each state are determined based on a health insurance plan that legislators find to be the most representative of the “average” plan in the state. Put more simply, if most individual and Small Group insurance plans in your state included weight loss surgery before Obamacare, then it will likely be covered by Obamacare. Note that Essential Health Benefits do NOT apply to large group health insurance plans (employers with 51 or more full-time employees). If you work for a company with 50 or more employees, bariatric surgery coverage will be up to your employer. Regardless of your plan or location, it’s easiest to contact your bariatric surgeon to approve your benefits for free. Here is the updated list of states required to include bariatric surgery in all Individual, Family and Small Group Plans: – See more at:
  • Arizona
  • California
  • Delaware
  • Hawaii
  • Illinois
  • Iowa
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Oklahoma
  • Rhode Island
  • South Dakota
  • Vermont
  • West Virginia
  • Wyoming
To sign up for an Affordable Care Act (Obamacare) health plan, you have two options… Enroll during the open enrollment period which runs from November 15 through February 15 (3 months). If you want to enroll any time outside of the open enrollment period, you’ll need to qualify for a “Special Enrollment Period” or SEP.  In order to qualify for a SEP, you must experience (and be able to prove) one of several “qualifying life events” such as: Marriage or divorce Moving homes Gaining citizenship Losing your other health coverage for certain factors out of your control For all of the details and to apply, go to and follow the on-screen instructions. – See more at: Read more…   facebook like banner