Community Conversation => Female to male transsexual talk (FTM) => Transsexual talk => FTM Top Surgery => Topic started by: Derek on January 01, 2016, 10:09:52 PM Return to Full Version
Title: Reproductive health care with gender marker change
Post by: Derek on January 01, 2016, 10:09:52 PM
Post by: Derek on January 01, 2016, 10:09:52 PM
How do you get coverage for FAAB reproductive check up. I am planning to change my gender marker and name, I am not sure how to get covered for pap smears etc. If my insurance view me as male, how will my insurance plan cover this type of stuff. Does anyone have a clue?
Title: Re: Reproductive health care with gender marker change
Post by: Bimmer Guy on January 02, 2016, 11:31:13 AM
Post by: Bimmer Guy on January 02, 2016, 11:31:13 AM
Quote from: Derek on January 01, 2016, 10:09:52 PM
How do you get coverage for FAAB reproductive check up. I am planning to change my gender marker and name, I am not sure how to get covered for pap smears etc. If my insurance view me as male, how will my insurance plan cover this type of stuff. Does anyone have a clue?
The ACA put something in place where it is the body that determines what medical services are needed, not the gender marker.
With that said, I would consider leaving your gender marker as female on your insurance if you don't want to have a big fight for a hysterectomy (if you want one). You can still change your gender marker on your license and not change it with your insurance. Same thing with name change.
Title: Re: Reproductive health care with gender marker change
Post by: FTMax on January 03, 2016, 12:11:45 PM
Post by: FTMax on January 03, 2016, 12:11:45 PM
Hi there,
It really depends on your insurance plan I think, and where you are located. Bimmer Guy is right about the Affordable Health Care plans. But I do not know if the provisions of it affect plans that are outside of the ACA.
Speaking from personal experience, after top surgery I updated all of my documentation to my male name and gender, including my health insurance. It is through the Washington DC Healthlink, and DC prohibits plans from excluding trans healthcare. When I inquired with my insurer about procedures that I was planning to have done in the future, they said that they were all covered as surgical benefits at agreed upon percentages based on in-network or out-of-network coverage. I specifically inquired about a hysterectomy, vaginectomy, metoidioplasty/phalloplasty, urethroplasty, scrotoplasty, and the insertion of testicular implants. All covered despite the fact that they have me in the system as male.
I would call your provider and ask if it is something that you worry about. Record the conversation so you have a record of it. If you can email them and get it in writing, that would be even better.
It really depends on your insurance plan I think, and where you are located. Bimmer Guy is right about the Affordable Health Care plans. But I do not know if the provisions of it affect plans that are outside of the ACA.
Speaking from personal experience, after top surgery I updated all of my documentation to my male name and gender, including my health insurance. It is through the Washington DC Healthlink, and DC prohibits plans from excluding trans healthcare. When I inquired with my insurer about procedures that I was planning to have done in the future, they said that they were all covered as surgical benefits at agreed upon percentages based on in-network or out-of-network coverage. I specifically inquired about a hysterectomy, vaginectomy, metoidioplasty/phalloplasty, urethroplasty, scrotoplasty, and the insertion of testicular implants. All covered despite the fact that they have me in the system as male.
I would call your provider and ask if it is something that you worry about. Record the conversation so you have a record of it. If you can email them and get it in writing, that would be even better.