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pnwmom

(109,771 posts)
15. The ACA says that all policies, whether group or individual, have to cover the Essential Benefits,
Sun Jan 7, 2018, 11:25 PM
Jan 2018

including hospitalization and surgery -- without regard to preexisting conditions.

So unless this person somehow has an old junk policy, and never signed up for Obamacare, his policy has to cover the surgery. If he doesn't have a group policy, and just decided to pay a penalty instead of buying an Obamacare policy, then that's the choice he made.

I bet he has an old junk policy and was one of those who decided not to get a policy on the exchange.

Here is a state insurance hotline for Floridians:

https://www.floir.com/Office/SearchableTools.aspx

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