 [ Symptoms ] what about bariatric surgery under the affordable care act  obesity is a pre existing condition but what are going to be the limitations for obese people when they buy insurance on the marketplace [ Disease ] some states will require insurers to specifically pay for bariatric surgery but that will vary across the country you will need to check the plans you are considering buying very carefully to see if the services you need are specifically covered beyond that it is important to keep in mind that whether surgeries and other treatments are covered are determined by their medical necessity with regard to limitations you cannot be turned away because you are obese and you cannot be charged more for your health plan either