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Obtaining a "rider" for health insurance coverage?

Started by CMD042414, August 29, 2015, 11:26:20 AM

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CMD042414

Hi guys,
My employer uses Aetna. I am in a union and I have tenure as I work in education. Is there anyone whose insurance package explicitly stated that GRS is not covered but were able to obtain a rider to waive the exclusion? It drives me crazy that Aetna is routinely hailed as a supporter of LGBT rights but fails to offer universal coverage.
Started T: April 2014
Top Surgery: June 2014
Hysterectomy: August 2015
Phalloplasty: Stage 1-August 2018
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Tessa James

I sure hope you will prevail and/or appeal any denial of care due to these discriminatory and exclusionary riders.  I am not sure about Aetna but at Kaiser they are group policies and we are unable to simply buy our way in, as an individual, if we happen to have a crappy plan.

Yes, it is very hypocritical for the big companies to tout their HRC platinum status as they kick us to the curb.

Keep it up Dude!
Open, out and evolving queer trans person forever with HRT support since March 13, 2013
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CMD042414

I will certainly keep plugging away! I was under the impression that Kaiser had full coverage. Interesting...
Started T: April 2014
Top Surgery: June 2014
Hysterectomy: August 2015
Phalloplasty: Stage 1-August 2018
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AndrewB

Quote from: CMD042414 on August 29, 2015, 03:55:33 PM
I will certainly keep plugging away! I was under the impression that Kaiser had full coverage. Interesting...

Depends on the plan. Bigger companies can choose to cover it through Kaiser, but I'm not sure about individual plans or smaller businesses.
Andrew | 21 | FTM | US | He/Him/His








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Tessa James

Quote from: AndrewB on August 29, 2015, 04:12:20 PM
Depends on the plan. Bigger companies can choose to cover it through Kaiser, but I'm not sure about individual plans or smaller businesses.

You got it Andrew.  If you live in California, Colorado or DC you are covered.  If you're group bought the right plan with the rider, you're covered.  And if we are unlucky about this draw we appeal the discrimination to the Insurance Division.

We will win!  Eventually :D.........
Open, out and evolving queer trans person forever with HRT support since March 13, 2013
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