Susan's Place Logo

News:

Please be sure to review The Site terms of service, and rules to live by

Main Menu

Have anyone got their SRS covered by Insurance?

Started by Akilasena, April 27, 2016, 08:19:26 PM

Previous topic - Next topic

0 Members and 1 Guest are viewing this topic.

Akilasena

I think there was a case where one big insurance company was sued by a transwoman, and lost to pay for her SRS.
Have anyone got their SRS covered by Insurance despite any "legal precedent"?

Is CO still SRS capital of the world besides Thailand?
  •  

Mariah

In different states, different insurances do cover it. Colorado isn't really the center anymore. A good number of people got to other places like California and Arizona. Mine is covered by my insurance just like any other procedure. Hugs
Mariah
If you have any questions, please feel free to ask me.
[email]mariahsusans.orgstaff@yahoo.com[/email]
I am also spouse of a transgender person.
Retired News Administrator
Retired (S) Global Moderator
  •  

JustASeq

I had my surgery covered by Cigna in California. I had to get a network adequacy exclusion and a letter of agreement since there were no in network doctors and to avoid having to pay upfront and be reimbursed. In some states it is required insurance companies cover these types of things. Just remember to stay determined when actually dealing with insurance companies, it is ridiculously frustrating at times. Best of luck :)
-Seq
  •  

KyleeKrow

I think Oregon also has at least some insurance companies that do. Not sure if they're required or not. The state's insurance plans for low income/disabled people cover it though.
  •  

Denise

My insurance will cover every procedure wpath States is necessary to transition, electrolysis, voice, FFS, top and bottom surgery, and more.
1st Person out: 16-Oct-2015
Restarted Spironolactone 26-Aug-2016
Restarted Estradiol Valerate: 02-Nov-2016
Full time: 02-Mar-2017
Breast Augmentation (Schechter): 31-Oct-2017
FFS (Walton in Chicago): 25-Sep-2018
Vaginoplasty (Schechter): 13-Dec-2018









A haiku in honor of my grandmother who loved them.
The Voices are Gone
Living Life to the Fullest
I am just Denise
  •  

CrysC

I'm pre-approved by my insurance company for SRS with Dr Bowers.  That would be near San Francisco. 
Come live out my way.  The west coast is the best coast :-)

  •  

Karen_A

  •  

michelle666

Mine GRS with Bowers is covered 100%. They only thing that I have to pay besides travel expenses is a $200 co-pay for the hospital stay. I have a very high end policy with Aetna. I did a ton a research and chose it because of what it's going to cover for surgery.
  •  

Rachel

I am in PA and have Aetna. My GCS is covered.
HRT  5-28-2013
FT   11-13-2015
FFS   9-16-2016 -Spiegel
GCS 11-15-2016 - McGinn
Hair Grafts 3-20-2017 - Cooley
Voice therapy start 3-2017 - Reene Blaker
Labiaplasty 5-15-2017 - McGinn
BA 7-12-2017 - McGinn
Hair grafts 9-25-2017 Dr.Cooley
Sataloff Cricothyroid subluxation and trachea shave12-11-2017
Dr. McGinn labiaplasty, hood repair, scar removal, graph repair and bottom of  vagina finished. urethra repositioned. 4-4-2018
Dr. Sataloff Glottoplasty 5-14-2018
Dr. McGinn vaginal in office procedure 10-22-2018
Dr. McGinn vaginal revision 2 4-3-2019 Bottom of vagina closed off, fat injected into the labia and urethra repositioned.
Dr. Thomas in 2020 FEMLAR
  • skype:Rachel?call
  •  

Maybebaby56

Quote from: pj on April 28, 2016, 07:06:01 PM
My insurance will cover every procedure wpath States is necessary to transition, electrolysis, voice, FFS, top and bottom surgery, and more.

That is amazing. What insurance carrier do you have? I have never heard of an insurance company covering anything more than GRS. I thought I was lucky because my insurance company, Aetna, covered GRS.

~Terri
"How we spend our days is, of course, how we spend our lives" - Annie Dillard
  •  

CrysC

I have Premera and it covers the same thing.  Whatever is recommended by WPATH as a treatment is covered but it is a higher end policy offered from a big tech company.  For example I have body and facial feminization covered. You can get more like hair transplant, removal, therapy, hormones, etc.  It's a good reason for girls like us to go into tech if we can. 
  •  

Roxy Revolver

can someone name the companies that have the insurance that covers everything
I would like to find a job and get things rolling
I've been stuck because of finances , I would risk everything if I could get somewhere and work a job that would help with transition .
  •  

AndrewB

Quote from: Roxy Revolver on October 23, 2017, 10:34:52 PM
can someone name the companies that have the insurance that covers everything
I would like to find a job and get things rolling
I've been stuck because of finances , I would risk everything if I could get somewhere and work a job that would help with transition .

I am on my father's Kaiser Permanente insurance plan through his job at Intel in the Portland, OR area. They cover basically all trans-related expenses, including HRT, electrolysis, SRS, therapy etc. They even covered my travel and hotel stay expenses, plus a per diem, when I traveled out of state for phalloplasty. And my deductible for all my surgeries was $100 for out-patient and $250 for anything that required an overnight stay in the hospital, regardless of how many days it was. And everyone at the Gender Pathways Clinic have been super nice and helpful, which is a plus.
Andrew | 21 | FTM | US | He/Him/His








  •  

Ajessica250

I am Canadian so the tax payers will pay for my Gender Confirmation Surgery. My company health insurance covers short term disability for recovery when having trans health related surgeries.
  •  

Katja69

I general, the medicinal part of transitioning is covered.  The cosmetic side (lifts, tucks, removals\additions, FFS and other "prunings") are not fully covered....unless the therapist\psychologist states there is for mental health stability\self-injury.  The best way to find out is call your provider and ask questions or at the very least visit their web site.
  •  

JennyBear

Quote from: Denise on April 28, 2016, 07:06:01 PM
My insurance will cover every procedure wpath States is necessary to transition, electrolysis, voice, FFS, top and bottom surgery, and more.

    Yes, please, Denise, which carrier do you have and are these procedures still covered? State funded for low income under current guidelines only covers therapy and HRT in Ohio.
"Don't be fooled by the rocks that I got. I'm still, I'm still Jenny from the block."
  •  

Colleen_definitely

As painful as dealing with them can be, you may look into the VA.  Supposedly they cover quite a bit.

My insurance covers everything.  FFS, BA, SRS, etc.  BCBS Massachusetts.
As our ashes turn to dust, we shine like stars...
  •  

JennyBear

Quote from: Colleen_definitely on October 24, 2017, 08:00:06 AM
As painful as dealing with them can be, you may look into the VA.  Supposedly they cover quite a bit.

My insurance covers everything.  FFS, BA, SRS, etc.  BCBS Massachusetts.

    They did until Trump was elected and new guidelines came out. Now all that's covered transition wise is HRT and therapy.
"Don't be fooled by the rocks that I got. I'm still, I'm still Jenny from the block."
  •  

Colleen_definitely

As our ashes turn to dust, we shine like stars...
  •  

Sydney_NYC

Horizon BCBS of NJ is covering my GCS/SRS next week and getting it approved wasn't as bad as I thought thanks to the knowledgable surgeon's office. I was at a transgender health conference a few weeks ago and this was the #1 topic. Across the board BCBS seems to be covering for most states. However, I know several people who are having issues with United Healthcare. They were covering everything, but since the Trump Administration has hinted that it's not enforcing transgender healthcare for the affordable healthcare act, United Healthcare is saying all trans related care is covered but is not paying and betting on the odds with the Just Department not enforcing the ACA and Trump trying to dismantle the ACA. Aetna and Cigna is a mixed bag at the moment. Fortunately many stated (just recently NJ) have state protections where insurance companies must cover trans related care.
Sydney





Born - 1970
Came Out To Self/Wife - Sept-21-2013
Started therapy - Oct-15-2013
Laser and Electrolysis - Oct-24-2013
HRT - Dec-12-2013
Full time - Mar-15-2014
Name change  - June-23-2014
GCS - Nov-2-2017 (Dr Rachel Bluebond-Langner)


  •