Susan's Place Transgender Resources

Community Conversation => Transsexual talk => Female to male transsexual talk (FTM) => Topic started by: Simon on May 22, 2013, 05:27:42 PM

Title: A Few Random Questions
Post by: Simon on May 22, 2013, 05:27:42 PM
Sitting here thinking about a few things I've never seen asked (that I can remember) or fully answered.

When you have top surgery do you have to pay taxes on it? Does it depend on the State you have it done in or is there a federal tax attached to it?

My other surgery question is, has anyone had a hysto BEFORE top surgery? If so were you required to stop T for a certain amount of time before surgery? If so, why? Which surgeon did you use that required a patient stop prior to surgery?

Last question is health insurance related. Once your birth certificate, ID's, etc are legally male do you have to disclose that you were FAAB? Even pre bottom surgery? When you're legally male is an insurance company required to pay for your lab work and T? How about phallo/meta?

Oh, and this is something I came across earlier today and wanted to share with everyone (that lives in the States obviously). I haven't had a chance to look further into it. Has anyone here claimed their SRS for tax purposes? How did that work out for you?

http://www.huffingtonpost.com/2011/11/11/irs-sex-change-surgery-tax-deductible-_n_1088767.html (http://www.huffingtonpost.com/2011/11/11/irs-sex-change-surgery-tax-deductible-_n_1088767.html)
Title: Re: A Few Random Questions
Post by: sneakersjay on May 22, 2013, 09:43:09 PM
QuoteWhen you have top surgery do you have to pay taxes on it? Does it depend on the State you have it done in or is there a federal tax attached to it?
I just paid what the surgeon quoted, no tax added on top.

QuoteMy other surgery question is, has anyone had a hysto BEFORE top surgery? If so were you required to stop T for a certain amount of time before surgery? If so, why? Which surgeon did you use that required a patient stop prior to surgery?
I apply gel daily and I think I went off it several days before through several days after. Follow your doctor's instructions.

QuoteLast question is health insurance related. Once your birth certificate, ID's, etc are legally male do you have to disclose that you were FAAB? Even pre bottom surgery? When you're legally male is an insurance company required to pay for your lab work and T? How about phallo/meta?
I don't see why you would need to disclose unless you were having a medical issue around those parts, and your doctor will know.  AFAIK you can't change your BC without lower surgery in most places.

QuoteHas anyone here claimed their SRS for tax purposes? How did that work out for you?
Yes

Title: Re: A Few Random Questions
Post by: Arch on May 22, 2013, 10:33:20 PM
I paid the quoted price on my top surgery, minus the consult fee and the $500 discount.

I haven't had bottom surgery yet, but I don't disclose to nobody. My BC is the only thing I can't have changed; my birth state won't issue a brand new BC, so I don't see the point. But I have also been told that I would need a court order to get my name changed on the BC, and I don't have one. I don't think the request is reasonable, since my state of residence allowed for a common usage name change. I was told that my current documentation (notarized name change doc and everything else under the sun) is not good enough. FU, South Carolina. I think the woman thought I was trying to pull off an identity theft. She stopped replying to my e-mails. Very unprofessional.

I wrote off everything I could think of on my 2009 tax filing. Since the top surgery was $7500 and I was also paying huge amounts for therapy, my partner and I were able to itemize for the first time ever. We claimed top surgery, therapy, mileage, T, other prescriptions and doctor co-pays, insurance premiums, new glasses, dental work, and I think some work-related expenses. Maybe also some sales tax...can't remember.

No problems whatsoever. I didn't have to specify what kinds of medical expenses they were, either. I advise you to carefully get up to speed on every single deduction that is allowable so that you can get back as much money as you can. Some people can strategically plan other expenses to coincide with that same tax year--otherwise, if you use the standard deduction, you lose out on a good opportunity. But do be aware that you can claim only a portion of your medical expenses, and the amount is based on your income.
Title: Re: A Few Random Questions
Post by: Simon on May 23, 2013, 12:56:38 AM
Quote from: Arch on May 22, 2013, 10:33:20 PM
I wrote off everything I could think of on my 2009 tax filing. Since the top surgery was $7500 and I was also paying huge amounts for therapy, my partner and I were able to itemize for the first time ever. We claimed top surgery, therapy, mileage, T, other prescriptions and doctor co-pays, insurance premiums, new glasses, dental work, and I think some work-related expenses. Maybe also some sales tax...can't remember.

Thanks for the info. I'm definitely going to be researching into everything I can to help with taxes.
Title: Re: A Few Random Questions
Post by: randomroads on May 23, 2013, 01:29:32 AM
Remember that you have to meet a certain percentage of your income to deduct medical on taxes. After doing the math I found out that for us the amout we will pay on top surgery and T appts doesn't even begin to come close to the required %.
Title: Re: A Few Random Questions
Post by: Robert Scott on May 23, 2013, 04:17:36 PM
When you have top surgery do you have to pay taxes on it? Does it depend on the State you have it done in or is there a federal tax attached to it?

I haven't had surgery so I don't know

My other surgery question is, has anyone had a hysto BEFORE top surgery? If so were you required to stop T for a certain amount of time before surgery? If so, why? Which surgeon did you use that required a patient stop prior to surgery?

I am scheduled to have surgery in June.  My surgeon is Dr. Thorp ... I have been told not to stop T and to keep with the regular routine. I have not had top surgery

Last question is health insurance related. Once your birth certificate, ID's, etc are legally male do you have to disclose that you were FAAB? Even pre bottom surgery? When you're legally male is an insurance company required to pay for your lab work and T? How about phallo/meta?

In my state I am legally a male ... haven't changed my birth certificate or with social security ... my insurance & medical records have me as male ...when my doctor submitted for authorization a hysto for me they at first denied it b/c they don't cover trans surgery - however she got them to cover it.   They pay for all my lab tests - men have problems with T levels too & they pay for my T too  

Title: Re: A Few Random Questions
Post by: Simon on May 23, 2013, 04:32:01 PM
Quote from: Robert Scott on May 23, 2013, 04:17:36 PM
In my state I am legally a male ... haven't changed my birth certificate or with social security ... my insurance & medical records have me as male ...when my doctor submitted for authorization a hysto for me they at first denied it b/c they don't cover trans surgery - however she got them to cover it.   They pay for all my lab tests - men have problems with T levels too & they pay for my T too

Thanks for the info Robert. My hospital has me as male (I've seen some of my records say "transgender male" too). I'm getting a letter from my hysto surgeon and then waiting to get a letter from my top surgeon before I make an attempt at going to court to get anything changed. Then I want it all done in one swoop...to be done with it (birth certificate, license, SS...in one day). I'll make sure to eat my Wheaties that day. :laugh:

I have issues with insurance as it is. Legally they can't discriminate against my illness because it's genetic but they put the monthly payments so high ($550 a month or more) I can't afford it. It's ghetto (I know) but it's easier for me not to have medical insurance and get my MRI/CT Scans done through the local clinic. The clinic won't pay for my T or labs but they are willing to pay for my yearly MRI scans, so I can't complain at all.