Author Topic: How the heck do I find a surgeon I can afford  (Read 620 times)

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Offline MerryDeath

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How the heck do I find a surgeon I can afford
« on: May 18, 2022, 12:03:06 pm »
I am in Southwestern PA (Johnstown) and don't have the money for mtf bottom surgery unless it's in my insurance network.  I've searched online, I've asked my PCP, I've asked the insurance company (Anthem BC/BS) but none of them could tell me if I have a surgical option in my network. 

I am at the end of my rope and don't know where else to ask so here I am on a forum.

Online Jessica_Rose

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Re: How the heck do I find a surgeon I can afford
« Reply #1 on: May 18, 2022, 12:10:29 pm »
Welcome to Susan's Place and the Forums!

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Online Jessica_Rose

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Re: How the heck do I find a surgeon I can afford
« Reply #2 on: May 18, 2022, 12:20:01 pm »
Someone at Anthem should be able to tell you if there are any GCS surgeons in your network. Most providers have a website which can be used to search for specialists in dozens of categories. My provider did not have any in-network GCS surgeons. They allowed me to select any surgeon in the US and then declared my surgeon-of-choice 'in-network' for insurance purposes. There are several great GCS surgeons in the northeast US, and I expect one or more of them will work with your insurance.

Love always -- Jessica Rose

Online Jessica_Rose

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Re: How the heck do I find a surgeon I can afford
« Reply #3 on: May 18, 2022, 12:41:12 pm »
If you haven't already checked Blue Cross / Blue Shield, this site may help:

https://www.bcbs.com/find-a-doctor

Most insurance packages in the US seem to cover GCS now, but they don't always make it easy to find.

Love always -- Jessica Rose

Offline MerryDeath

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Re: How the heck do I find a surgeon I can afford
« Reply #4 on: May 18, 2022, 01:35:30 pm »
Thanks for the fast and helpful replies.  I'm already on it!
The bcs website found none within the max mileage.
Anthem doesn't have an in-network provider. 

Offline Allison R

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Re: How the heck do I find a surgeon I can afford
« Reply #5 on: May 18, 2022, 01:39:10 pm »
Thanks for the post Merrydeath, and for the link Jessica. Very helpful.

And welcome to the forums Merrydeath.

Allison
I have always known I would have been happier and lived a better life if I were born a woman, I just didn't know that that is the literal definition of the word transgender.

If you're not moving forward, you're moving backwards.

Be tougher on yourself than anyone else is, love yourself more than anyone else does, and if there is something you don't want to do at all, best if you do it right now.

Offline Devlyn

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Re: How the heck do I find a surgeon I can afford
« Reply #6 on: May 18, 2022, 04:22:44 pm »
Welcome to Susan's Place! Dr Kathy Rumer is in Philadelphia not sure if that helps you.

Hugs, Devlyn
Veteran, US Army

Online Jessica_Rose

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Re: How the heck do I find a surgeon I can afford
« Reply #7 on: May 18, 2022, 05:23:13 pm »
There's also Dr. Christine McGinn at the Papillon Center in New Hope, PA. If the insurance provider won't help you out, you may be able to get information from a surgeon's office.

Love always -- Jessica Rose

Offline Maid Marion

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Re: How the heck do I find a surgeon I can afford
« Reply #8 on: May 18, 2022, 07:01:49 pm »
https://www.wpath.org/
The World Professional Association for Transgender Health promotes the highest standards of health care for individuals through the articulation of Standards of Care.

They have a provider search on their web site.

Offline Rakel

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Re: How the heck do I find a surgeon I can afford
« Reply #9 on: May 19, 2022, 07:32:06 am »
Dear Meridith,

For a major procedure such as GCS, you will need a pre-authorization from your insurance carrier. In the pre-authorization approval process, your insurance must mention who is in your network who does this procedure. If no qualified surgeon can be found, they should find someone out of network, otherwise they will be putting you in an impossible situation where you can have the surgery, but no one in your network will provide it. Many times you just need to be persistent about getting your needed surgery.

There is also the possibility of changing to an insurance policy that does allow out of network coverage. It costs more, believe me. I recently switched from BCBS Basic to Standard coverage and my monthly premium doubled, but I have out of network coverage.




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