Susan's Place Transgender Resources

Hi all! 

Just thought I'd share; I got the letter from my insurance company today approving coverage of top surgery! :-D

Weird that they put a time limit on it (I work with medical stuff and insurances all day at work and I've never come across that).  They wrote the letter on the 8th so it says it has to be done between 2/8/13 and 4/8/13.  I was initially looking at May so now I just need to re-arrange stuff at work to do it earlier; I'm looking at the end of March.  I'm calling tomorrow to hopefully set a date.  I'm so excited and can't believe this is actually happening! :)

Congrats man, that's totally freakin' awesome!  ;D

Totally awesome :) congrats!

Congrats mate! :)

Congrats!!!

Congrats, dude!

Congratulations! You are getting your surgery with Dr. Rockmore, right? My insurance also covered my surgery with him and put a time limit on my approval as well but my surgery was schedule way before the approval ran out. Best of luck with everything! Dr. Rockmore is a great doctor and his staff is amazing. The staff at St. Peter's is also amazing and accommodating. Just beware they will have you pee in a cup to test for pregnancy. When they asked for my urine sample they just kept apologizing because of being trans but it didn't matter to me anyway!

Thanks guys!  I'm very excited and work has been INCREDIBLY supportive which helps as well.

Grats on that. :)

Congratulations! :)

Its funny, because when I read that you have to have it between 2/8/13 and 4/8/13, I thought "Thats ridiculous that theyve only given him 2 days!!". But then I remembered, the US and UK way of writing dates is different :p

Quote from: Make_It_Good on February 15, 2013, 07:02:07 PM
Congratulations! :)

Its funny, because when I read that you have to have it between 2/8/13 and 4/8/13, I thought "Thats ridiculous that theyve only given him 2 days!!". But then I remembered, the US and UK way of writing dates is different :p

Yeah we consider switching to the way the rest of the world does, but that would make too much sense, right? :laugh:

Haha, Make_It_Good; that's too funny.  2 months is short enough, 2 days would be CRAZY LOL

By the way--March 20th...a month from today!  Can't wait! :-D

Quote from: Felix on February 16, 2013, 09:08:51 AM
Yeah we consider switching to the way the rest of the world does, but that would make too much sense, right? :laugh:

Haha, too true Felix :p

March 20th? Thats amazing Paul! Good luck!

Quote from: Felix on February 16, 2013, 09:08:51 AM
Yeah we consider switching to the way the rest of the world does, but that would make too much sense, right? :laugh:

Pfft. 'Merica is awesome!11'. No really, health care man...

Grats though! You must be super excited! Let us know how it goes!!

That's awesome, dude! Happy for you!  ;D

CONGRATS! :)

Just wondering what kind of health insurance you have? Also, what are the requirments you need for him to do the surgery? did you need a letter from a therapist or anything?

Thanks guys!  And Ayden, I'll definitely let you guys know how it goes! :)

Quote from: xaviertyler22 on February 22, 2013, 03:09:16 AM
Just wondering what kind of health insurance you have? Also, what are the requirments you need for him to do the surgery? did you need a letter from a therapist or anything?

I have CDPHP (Capital District Physician Health Plan) which is specific for the Capital Region here in NY.  They actually just changed the requirements back in September.  For Top Surgery I just needed a letter from my therapist.  For Bottom Surgery I believe it's a letter, a  year on T, a couple of sessions with a Psychiatrist (if your therapist isn't an MD), urological exam and a I can't remember what else. 

Congrats!

Thanks!  Can't believe it's only 3 1/2 weeks away!

Congratulations,good luck!

That's awesome congrats!

Thaneks!  11 days; it's hard to believe it's been 3 1/2 weeks already since I set the date.

what did the letter have to say?

Quote from: xaviertyler22 on March 15, 2013, 02:20:41 AM
what did the letter have to say?

All the breakdown from the insurance company says is "One letter of recommendation, in the form of a written comprehensive evaluation, is required by a qualified mental health professional acquainted with the member"

Sorry I couldn't be of more help.  :-/

congrats! would love to be at the same position :) I hope everything will go fine :)

Thank you!  3 days away...hard to believe it's here already.  My boyfriend has been AMAZING with all of our prep for surgery, I can never thank him enough.  We spent this weekend finishing up the prep and I think we're FINALLY ready :) 

I'll keep you guys posted Post-Op and let you know how it goes!

late to the party but congratulations-it really is an awesome feeling

Haha, thanks man.  I can't believe it's finally here. 

Im late to the party as well! Regardless, congratulations :)

how did you get your insurance to approve! what are the steps and what did you have to say? also how long did it take for them to approve?

Quote from: xaviertyler22 on March 18, 2013, 09:04:41 PM
how did you get your insurance to approve! what are the steps and what did you have to say? also how long did it take for them to approve?

I luck out with my Health Insurance from work an they cover Trans stuff.  The letter from my therapists just had to say that I was Trans and had been dealing with it my whole life, I was already on T and that it was medically necessary.  It took them a few weeks to approve it, but in the end they did.

BY THE WAY---SURGERY WAS TODAY!!! :-D It went really well and I'm home relaxing watching my favorite TV show (Law & Order SVU).

Wow. Congratulations man!

Thanks, so far so good.  :) Feeling pretty good and was walking around the house a bit last night.