Tuesday, July 15, 2014

“Sometimes inevitability takes awhile...”

...a transgender rights advocate tells Politico's Sarah Wheaton for this extensive piece discussing the availability of insurance coverage for sex reassignment surgery. Quite obviously, the debate centers on the distinction medically necessary and elective surgeries. Wheaton writes:

Insurance companies say they are committed to nondiscrimination and ready to offer plans covering surgery when payers request it or regulators require it. Even when a policy includes coverage, however, issues arise over what’s elective versus essential.


In their coverage descriptions, major insurers like Aetna and UnitedHealthcare will pay for changes to private body parts, like vaginoplasty and testicular prosthesis. Mastectomies for female-to-male patients and breast implants for male-to-female patients are usually covered, too. Procedures such as facial feminization or voice modification surgery are generally excluded as cosmetic.


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