Susan's Place Logo

News:

Based on internal web log processing I show 3,417,511 Users made 5,324,115 Visits Accounting for 199,729,420 pageviews and 8.954.49 TB of data transfer for 2017, all on a little over $2,000 per month.

Help support this website by Donating or Subscribing! (Updated)

Main Menu

Fighting insurance company discrimination

Started by josie76, January 27, 2017, 05:35:19 AM

Previous topic - Next topic

0 Members and 1 Guest are viewing this topic.

josie76

Well I can see I'm going to be in for a fight. My employer provides insurance from BCBS of Mississippi. The PPO plan is called "Welfare Healthcare Plan" so yes it's covers about what welfare covers and that's it. The coverage specifically excludes transgender medical care as in

"Sex transformation services, sex dysfunction, " So it puts gender dysphoria medical treatment in the same exclusion as erectile distinction. REALLY  ???

So the one silver lining is the required statement " except where required by law". Well I live in Illinois so they legally have to follow the laws of my state of residence. Illinois dept of insurance has issued rules preventing transgender discrimination. In the publication the dept cites Illinois civil code and Il administrative codes. But particularly helpful is the examples of things not allowed including

"Sex transformations and related services" this makes this exclusion illegal in Illinois.

I suspect from how my families general providers are having to fight for basic covered payments by recoding things due to BCBS MS determining things to be "not medically nessecary" that I will be in for a fight to get them to cover my endocrinologist appointments and medications. Well it won't be the first time I've had to fight the system with applicable state laws.  ::) ugg. This is one of the few times that living in Illinois turned out to be a positive thing  ;)
04/26/2018 bi-lateral orchiectomy

A lifetime of depression and repressed emotions is nothing more than existence. I for one want to live now not just exist!

  •