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Surgery coverage questions.(San Fran or Vancouver)

Started by greypeacock, September 03, 2013, 10:59:55 AM

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greypeacock

Hello! I was wondering if anyone from Western Canada or San Francisco could chime in here on coverage options. The basic situation is that I've been living in a shelter in Santa Rosa (norcal) for a couple months now and am doing all I can to just get my top surgery and move on with my life and really go after that art career I went to college for. I am Canadian,  but have my green card. My options are to try to move into San Francisco (even if that means another shelter for awhile) and get onto the 'Healthy San Francisco' coverage. I have heard that it covers SRS. Does anyone have experience with this?

Plan B is to abandon my green card and head to an accepting province. Likely this would be Vancouver, but I know little about there. Has anyone gotten their surgery that way? I have lived as my gender for well over two years now and could get both a therapist's letter and one from my doctor.I would be sad to leave California behind, but having top surgery will open a lot of doors for me. I'm itching to get going.

Thanks for listening.  If anyone wants more information about me, feel free to ask, or check out my post in the introduction section.
Have a good one! 
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A

Can't say 100 % for sure since I haven't looked it up for FTMs, but MTF SRS is entirely covered by the public insurance for any diagnosed citizen, I'm pretty sure, and if an MTF has no or little breasts (they have a number of cm³ below which they cover it) after a certain period of proper HRT, they even cover breast augmentation, even though the waiting time is relatively long. And I promise such a thing is far, far from covered over here, even though Québec was once -the- North American model for having a public health system.

In light of this, I think I can say it's highly likely that they cover FTM top surgery, and at the very least the sterilizing surgery (forgot the name) for the bottom, and probably more advanced options too.

British Columbia is even the only province I know that publishes complete treatment guidelines for transsexuals, with doses and everything. Which tends to tell me it's probably the most "advanced" province in the matter. Financially, at least. In practice, I think they don't have much expertise, and I'm not sure they even have a surgeon, in trans oriented surgeries. I think, for example, they'll cover SRS, but send people to Montréal for it.

Generally speaking, for any health system question at all, the chances that you're better off in the US than in Canada are always pretty slim (even though it does happen; for example the state of New York(?) has basic public coverage for some limited dentist treatments for every citizen, but here in Québec, Canada, only super mega poor people on welfare get anything at all).

I can't find it (but to be honest with you I'm too tired/lazy to seriously look), but if you look around, you can probably find a document (PDF I believe) that details precisely what is and what is not covered by the public health systems of every Canadian province. Not sure how recent it is, but I think it's at least decently reliable information.

If you find it, please give me a link to it; I forgot its contents and I'm curious. Maybe it even got updated.
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Lo

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greypeacock

Yeah... thelack of concrete was why I was hoping someone here had first hand experience with it. I'm seeing my doctor tonight. Gonna see what she thinks. She's a font of trans* knowledge.
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Jack_M

DO NOT MOVE TO VANCOUVER!!!!  If you go back to Canada, go to Ontario or Montreal if you want surgery.  In Vancouver I'm looking at a 2 year waiting list for top surgery right now, and phaloplasty...yeah, I don't think that'll ever happen!  They only cover 5 guys a year in BC and they only just started covering it so it's a massively long list.  It's one of the slowest places to be if you're FTM.  Other provinces are far better! 
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A

The heck? 5 a year? Their health budget is made like that? Like, no matter the number of cases, we can afford 5? That's beyond messed-up. :c I was envying them because of how they paid for more stuff than my own province does, too...
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greypeacock

After reviewing my options I've decided to take up a friend's offer in Oregon of a cheap room. Time vs cost says that going there abd working/saving every dime will work best. Then once I hit the mark I can fly to Florida and pay out of pocket for Garramone.

Not the easiest but possibly the fastest.

As an aside,  I'm sad to hear about the state of Vancouver trans* healthcare atm.
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