Hysterectomy and Insurance

[Hayzer12]

Hey guys,

So, I just got back from the doctor. I'm 5 years on Testosterone come October, and he said that I'm well over due for a hysto. I've had a couple of issues recently, deeming it necessary to have one, and he's wanting me to shoot for it as soon as possible. The thing is, I live about 500 miles from my doctor currently (temporarily because of school) so I was looking closer to my area (I live in Central Illinois), and therefore he can't exactly refer me to anyone.

I am just wanting to come here and see if anyone has any information on getting a hysterectomy covered on insurance if you already had your gender marker changed T_T as well as see if anyone has anyone they know in the area. I'm about 3 hours south of Chicago, so Chicago would work out well if possible.

I would ideally like to have my phallo at the same time, that way it decreases the amount of surgeries I'll have overall. I know there are a few surgeons that work with insurance, but I'm concerned about the hysterectomy more than anything.

Does anyone have any experience with this and having their gender marker already changed?

[Dex]

I do not, unfortunately, have experience with it already being changed. I did get my hysterectomy covered, but waited to change my birth certificate until after that so that it would be less difficult to fight insurance.

I have heard of plenty of people getting it covered. They may deny it initially but I've heard a lot of people have success with the "you cover this procedure for people with these organs, regardless of gender marker" argument.

I do think that is going to largely depend on your insurance, though.
Dr Schecter is in/near Chicago. He does the phallo but I'm not sure if he works with a doc to do hysto at the same time or if he prefers that be done before phallo.

[HeyTrace19]

When I had mine done, my ID was M but I was still insured as F.  There was a bit of confusion with paperwork, but it worked out just fine, since it was very medically necessary.  If you can, I would try to work out the details of your phallo and have the hysto done in conjunction with that.  The fewer times you need to be under anesthesia, the better!

[FTMax]

I had my hysterectomy covered by my insurance despite being male. I have a ACA plan from a marketplace that banned trans exclusions, so they had to cover it regardless of gender coding. There were a few hang ups because the systems at both the doctor's office and the insurance company couldn't accept both "male" and "hysterectomy" at the same time. They had to manually adjust everything multiple times on both ends. But it got covered. I paid $1800 towards coinsurance/deductibles/out of pocket maximums, insurance paid out $38k.

I would call Dr. Schechter's office in Chicago and ask who they refer hysterectomies to. He is doing my bottom surgery and told me he would be able to refer me to someone locally there if I needed it.

There are no surgeons in the US that will currently do a hysterectomy and phalloplasty at the same time.

[zyero]

I'm not a medical professional, but I would strongly advise against doing hysto with either meta or phallo at the same time. Hysto was required to be done prior to my phallo, and I can't imagine having had them both at the same time. I had my hysto laparoscopically, which is much less invasive, but I still needed a concentrated recovery time (about a month) that I'm grateful I had separate from my upcoming RFF phallo. I just wouldn't put any more on the body at once during phalloplasty than necessary, in my opinion. And, at least for me, hysto wasn't as easy or painless as I thought lol. I don't want to get into unnecessary detail, but for anyone who's had hysto, I think you'll understand why. I'd be interested in hearing the opinions/testimonies of others who've had it separate or together.

Also, I had my hysto done with my gender marker changed to M with DMV and Social Security, but still F with insurance, which covered it without issue.