SRS New York Medicaid?

[Alessia]

Hello everyone!

I was curious if anyone knows what the situation is with medicaid and srs coverage in New York. I haven't been able to find  much definitive information on medicaid in particular, as far as I know it still doesn't cover srs.  Thank you!!

[Dani]

Each state is different, but from what I have learned is that Medicare has no problem paying the Hospital bill, but the surgeons fee is no where near the amount needed. Plan on paying the surgeon fees yourself.

[Tysilio]

Medicare ≠ Medicaid.  Former is run by the feds, latter is run by the states.

The Medicaid law in New York was recently revised as follows:

"Transgender Related Care and Services
Effective date: 3/11/15
Pursuant to authority vested in the Commissioner of Health by Sections 201 and 206 of the Public Health Law and Sections 363-a and 365-a(2) of the Social Services Law, Section 505.2 of Title 18 (Social Services) of the Official Compilation of Codes, Rules and Regulations of the State of New York is amended as follows, to be effective upon, publication of a Notice of Adoption in New York State Register.

Subdivision (l) of section 505.2 is repealed and a new subdivision (l) is added to read as follows:

(l) Gender dysphoria treatment. As provided in this subdivision, payment is available for medically necessary hormone therapy and/or gender reassignment surgery for the treatment of gender dysphoria."
https://www.health.ny.gov/regulations/recently_adopted/docs/2015-03-11_transgender_related_care_and_services.pdf

So, yeah, it's covered in New York.