Will hysto no longer be covered by my insurance because I changed gender marker?

[aleon515]

You guys make it sound like a walk in the park.  It is not.  I've been dealing with mine for over a year.  I had no prior documentation though.  Everything is denied because the genders don't match.  There really is no way around it if you have no previous documentation and they even coded it as a problem.  I even had it pre-authorized.

Oh boy, no. I'm sorry if I implied that. It would usually be refused initially, even if at some point they end up covering it. You need to reapply. It's one of those things where my guess is that it would be very unusual to NOT be refused initially. I had a tad bit of trouble with a mammogram (long story). Not much, but it was the wrong type. Men get mammograms but they are diagnostic and not screening. In diagnostic they have to say what type of problem there is which there wasn't any. I wasn't dealing with the insurance company, only the office.

--Jay

[Paul]

IAfter all these years of contemplating transition and all this research I never gave this thought. My name and gender marker have been changed. Does this mean a hysterectomy will no longer be covered by my insurance?

It depends on the insurance.  *I apologize if someone else already explained this, but I only have a few minutes so I can't read through all of the replies*

My insurance would cover it, but that's because they cover everything Trans related and it's in my profile that I'm Trans so even when I have to do Paps it's covered even though I'm listed as Male.  As is any surgery I want to do (provided I provide them with the necessary documentation required).  You would need to contact your insurance company and most companies can mail you a packet with the plan coverage and it will give you a breakdown of what is covered and what isn't (IE: Hormones, GRS, Therapy) and what documentation you need from Physicians to get said things covered.