I just found out that my insurance covers 90% of certain GID related treatments including hormones, top surgery, and genitalia surgery. But I have to choose a Dr that is in the network, which would be Dr. Medalie which is fine by me. Plus he's only a 4/5 hr drive from where I live and I like his results.

I one happy boy. 

Oh I have UnitedHealthCare by the way. If you have UHC too, call and check because plans differ.

*edit* Not sure about top surgery now. No doctors I've spoken to will take insurance. Will have to check out getting reimbursed instead.

i have that plan too!

um, so how much would your top surgery be with insurance, do you have any idea? I have never thought about how much it would cost with insurance.

I'm thinking somewhere around $600 for top surgery not including travel expenses. Actually it might be completely covered. I have to call and ask again, I was really nervous when I called and they didn't really know much, they had to keep putting me on hold to ask someone about my questions.

*edit* I would call UHC to make sure though, not all UHC plans cover SRS.

holy ->-bleeped-<-! 600! that is unbelievable, you are really lucky.  I hope the same for me, Im going to call.

thanks for posting this.

Damn I just emailed Dr. Medalie and he says top surgery isn't covered by insurance. He doesn't say why. I'm going to have to call UHC again. Maybe it's just him. I know Garramone doesn't accept insurance either though.

I know my insurance covers SRS it's just finding a decent Dr. that takes insurance for it argh.

Yeah, lots of plastic surgeons won't take insurance. I wish they did.

Sometimes you can pay up front and be reimbursed by insurance. 


Jay

This is good to know. I had only heard of Aetna being an insurance provider that would cover such things (although it's my understanding that most workplaces specifically remove all GID-related coverage). I'm fine currently with the cost of my hormone therapy but bottom surgery is something I am going to do; preferably in a year or two. It'd be nice to be in a situation where my insurance would help with at least part of it.

The doctors I want to use don't accept insurance ahhh. I'll have to look into getting reimbursed.

Quote from: Shayne on September 15, 2010, 11:47:36 AMOh I have UnitedHealthCare by the way. If you have UHC too, call and check because plans differ.

Interesting. My UHC plan specifically excludes any GID or closely related care.  I will read it again very
carefully. 

Is this something that changes significantly from state to state or company to company? 

-mS

One of my buddies went to Dr Medalie and he did get his surgery covered. He has United health care as well. Maybe there was more to it, im not sure. He is on youtube if you want to send him a message. maybe he can help you out. his channel name is ctshaw84

Depending on what type of insurance you have can make a difference.  Is it through an employer?  Is it one you purchased?  Is it through a school?  Each company or person negotiates what it wants covered and negotiate for prices.  My insurance specifically excludes trans stuff...it's under my wife .. however if I get insurance through my job it will be covered ... so I am switching in Jan.

Quote from: mistressstevie on September 17, 2010, 10:27:45 PM
Interesting. My UHC plan specifically excludes any GID or closely related care.  I will read it again very
carefully. 

Is this something that changes significantly from state to state or company to company? 

-mS

Probably changes from company to company.

Quote from: jet3 on October 01, 2010, 05:04:00 PM
One of my buddies went to Dr Medalie and he did get his surgery covered. He has United health care as well. Maybe there was more to it, im not sure. He is on youtube if you want to send him a message. maybe he can help you out. his channel name is ctshaw84

Thanks