Susan's Place Transgender Resources

OK, I have tried and tried to look but have not been very successful, is there any health insurance that covers transgendered issues such as the SRS or hormones  etc. I have found sites that show work places that cover them but I have not found any specific insurance companies. What i want to do if possible is to pay for my own insurance to cover these things. So i would appreciate any help anyone ma have.  I hae also tried hitting on the Lottery but as my wife says Honey you have to play to win.  darn   ;)

Quote from: AnomieAssassin on January 19, 2007, 11:26:03 AM
I know next to nothing about insurance, but I do believe that Aetna covers SRS

I think...

Check out http://www.aetna.com/cpb/data/CPBA0615.html (http://www.aetna.com/cpb/data/CPBA0615.html)

apparently they still have several issues with their supposed SRS coverage.  I still haven't met or heard of anyone who has benefited from their "claims". 

Mary, you may try to get coverage for therapy and HRT by enrolling in Blue Cross, Kaiser Permanente, Aetna.  It just depends on where you live and how much you are willing to pay for your premiums.

tinkerbell :icon_chick:

Yeah I have Aetna and looking over the materials it doesn't look like it would be covered for me. :(

Melissa

Quote from: mary83054 on January 19, 2007, 11:19:12 AM
OK, I have tried and tried to look but have not been very successful, is there any health insurance that covers transgendered issues such as the SRS or hormones  etc. I have found sites that show work places that cover them but I have not found any specific insurance companies. What i want to do if possible is to pay for my own insurance to cover these things. So i would appreciate any help anyone ma have.  I hae also tried hitting on the Lottery but as my wife says Honey you have to play to win.  darn   ;)

Perhaps you answered your own question? Many companies, organizations and federal, state and local governements are adding or amending their insurance coverages to lower costs or provide better benefits. This includes coverage for transistions, along with paying employees to use clinics in Thailand instead of the US. Insurance companies are in business for a profit, employers are (partly) in business for the employees. And you'll likely find individual insurance to be outrageously expensive if they even offer it. Good luck.

--Susan--

Quote from: mary83054 on January 19, 2007, 11:19:12 AM
OK, I have tried and tried to look but have not been very successful, is there any health insurance that covers transgendered issues such as the SRS or hormones  etc. I have found sites that show work places that cover them but I have not found any specific insurance companies. What i want to do if possible is to pay for my own insurance to cover these things.

I wouldn't expect to find any individual insurance for TS coverage. Insurance worked for insurance companies by diluting risk across many people or over time. If an insurance company provides coverage as part of an individual policy that destroys their ability to spread across a group.

(Disclaimer: all of the following numbers are made up)
With a group policy an insurance company could look at the group and say statistically 1 in 1000 people from this group will apply for TS coverage, the average cost of coverage is $40,000 and the average time a person has insurance with us is 5 years. 1000(people) * 5(years) = 5000(insurance years) * 12(months) = 60000(insurance months)   40000($)/60000(insurance months) = $0.67 monthly increase in costs to provide TS coverage for this group. Add a profit and raise the premiums of every one in the group to pay for the TS coverage.

If an insurance company provides individual coverage for TS known TS individuals will beat a path to their door and will apply for benefits as soon as possible. In the group attracted by that coverage the payout rate will be 100% which if we say the avg time this group spends with the insurance company remains the same by losing the effects of group dilution the cost of coverage increases 1000x from the previous example and their cost of coverage would be $666.67/mo + profit + your regular premium costs. In order to dilute that they would have to require a huge waiting period where you are paying premiums without being able to claim TS coverage. In the end you would pay more to your insurance company for the coverage than you would pay just paying the bill yourself.