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Insurance coverage?

Started by makipu, September 29, 2014, 04:31:38 PM

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aleon515

I would not hold my breath for this one. I know of one person who is intersex who got that term used. Most of the time, the coverage for surgery will be if they cover someone who is transgender. They cover it as transgender surgery. I wouldn't care what they would call it if I were you, if they covered it. You probably only will look at that on paper once. It would save you thousands of dollars.

--Jay
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Bimmer Guy

Quote from: makipu on February 10, 2015, 10:50:35 AM
Hi Sam, do you know if this actually would work if the doctor put gynecomastia? Would there be issues at all?  Also, will any surgeon do this?

"back in the day", surgeons did this regularly and then insurance caught on.  You will often see surgeons have posted on their site that they will not change the code to suit the insurance (meaning, won't code it as gynecomastia).  You can probably find someone who would, but you would have to get your gender marker changed to male with your insurance company first.
Top Surgery: 10/10/13 (Garramone)
Testosterone: 9/9/14
Hysto: 10/1/15
Stage 1 Meta: 3/2/16 (including UL, Vaginectomy, Scrotoplasty), (Crane, CA)
Stage 2 Meta: 11/11/16 Testicular implants, phallus and scrotum repositioning, v-nectomy revision.  Additional: Lipo on sides of chest. (Crane, TX)
Fistula Repair 12/21/17 (UPenn Hospital,unsuccessful)
Fistula Repair 6/7/18 (Nikolavsky, successful)
Revision: 1/11/19 Replacement of eroded testicle,  mons resection, cosmetic work on scrotum (Crane, TX)



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makipu

Quote from: Brett on February 11, 2015, 07:42:50 PM
You can probably find someone who would, but you would have to get your gender marker changed to male with your insurance company first.
which wouldn't be a smart thing to do if I want hysterectomy right?  (I am still debating between partial and full although the surgery is a must)
I am male because I say so and nothing more.
I don't have to look or act like one therefore.
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aleon515

I did this and think maybe I should not have. Eventually people will usually get things like hystos but they really have to fight for them. The odds of getting a "gynecomastia  surgery" paid for by insurance, I'd say are low. I don't personally really want a hysto, but if I need this, I'd have to really fight for it. There are provisions in the Affordable Care Act requires that LGBT people can't be discriminated against for necessary surgery (not including trans surgery, go figure...) but this kind of thing could cause problems for you.

--Jay

Quote from: makipu on February 11, 2015, 09:30:36 PM
which wouldn't be a smart thing to do if I want hysterectomy right?  (I am still debating between partial and full although the surgery is a must)
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makipu

How about treating the F parts with hysto while having M in insurance as an intersex condition?
I am male because I say so and nothing more.
I don't have to look or act like one therefore.
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aleon515

Well if you HAVE an intersex condition. Otherwise, I would not recommend lying on insurance or saying "well see I am not really lying, because I consider trans an intersex condition". Nope, doing what they would consider lying will mean maybe you could have no insurance.

--Jay

Quote from: makipu on February 12, 2015, 04:01:10 PM
How about treating the F parts with hysto while having M in insurance as an intersex condition?
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