Community Conversation => Transsexual talk => Male to female transsexual talk (MTF) => Topic started by: Sybil on July 02, 2014, 09:50:29 PM Return to Full Version
Title: For those of you who are handy with insurance.
Post by: Sybil on July 02, 2014, 09:50:29 PM
Post by: Sybil on July 02, 2014, 09:50:29 PM
Recently, there was an announcement that state health care in Massachusetts would cover GRS. I am on state health care, and needless to say, I was ecstatic -- but I'm a bit confused about one thing.
So here's my question: will my insurance cover GRS outside of the state? Will I be able to choose my own, like Bowers? There are no GRS surgeons here in the state, so do they plan to cover out-of-state GRS? Is that common? The insurance is primarily made for care in the state, which leaves me with a bit of confusion.
I would just call and ask my provider, but the bill hasn't gone into effect yet (it will in a few weeks or months, I'm not sure) so I doubt they could provide me with much information. I was hoping that some of you who understand this sort of thing could tell me, so I can plan accordingly.
So here's my question: will my insurance cover GRS outside of the state? Will I be able to choose my own, like Bowers? There are no GRS surgeons here in the state, so do they plan to cover out-of-state GRS? Is that common? The insurance is primarily made for care in the state, which leaves me with a bit of confusion.
I would just call and ask my provider, but the bill hasn't gone into effect yet (it will in a few weeks or months, I'm not sure) so I doubt they could provide me with much information. I was hoping that some of you who understand this sort of thing could tell me, so I can plan accordingly.
Title: Re: For those of you who are handy with insurance.
Post by: mrs izzy on July 02, 2014, 10:14:39 PM
Post by: mrs izzy on July 02, 2014, 10:14:39 PM
That is a good question.
Also if they do how will it work, most do not take insurance clams.
So i would say that you will have to pay out of pocket and get reimbursements?
Its good they now pay but how is the key i guess. Me i would not want to have to end up going to some hack and wack just because they are on the insurance company doctors. I can see some doctors rubbing there grubby greedy hands to get that money.
Keep us updated or maybe someone has a clue.
Isabell
Also if they do how will it work, most do not take insurance clams.
So i would say that you will have to pay out of pocket and get reimbursements?
Its good they now pay but how is the key i guess. Me i would not want to have to end up going to some hack and wack just because they are on the insurance company doctors. I can see some doctors rubbing there grubby greedy hands to get that money.
Keep us updated or maybe someone has a clue.
Isabell
Title: Re: For those of you who are handy with insurance.
Post by: Missy~rmdlm on July 02, 2014, 10:37:58 PM
Post by: Missy~rmdlm on July 02, 2014, 10:37:58 PM
Generally all care is handled as US domestic. Dr Bowers was covered as an "in network" preferred provider, regardless of me being in Missouri. I have UHC. Going out of the US is where getting coverage gets impossible excepting emergency care for an accident outside the US.
Title: Re: For those of you who are handy with insurance.
Post by: LordKAT on July 03, 2014, 04:46:33 AM
Post by: LordKAT on July 03, 2014, 04:46:33 AM
If a covered procedure has no local doctors, generally you will pay as if in network for an out of network doctor. However, if a doctor who does the procedure is in network, that is who you will have to see for full benefit of the insurance.
I don't know if that is true all over, but it is here.
I don't know if that is true all over, but it is here.