I love your blog overall, and have had this post pinned in a browser window since before comprehensive coverage took effect in my state, which fortunately happened before I got around to trying this process. However, I've now run into a remaining coverage gap, and wonder if this can still apply for that.
So, what prospect might there be to force coverage of fertility preservation? I reluctantly stopped estrogen a few weeks ago after one insurance agent thought it should be covered under Oregon HB2002, but now another agent is telling me it's definitely not, unless I can succeed on appeal with some argument of medical necessity. They seem to have covered my intake consult for it, but apparently won't cover the actual process. Sadly, I can't seem to find anything helpful in WPATH8, which only has recommendations about informing the patient and referrals for discussing options, and nothing about following through. Has anyone succeeded in this process for that? Do you know of any resources, or have any advice?
Fertility stuff is usually considered elective for anyone, as I understand it. It's why IVF is so incredibly expensive to families with fertility issues.
Well thanks anyway. I was thinking of trying to make the argument that sperm banking is the only kind of reproductive health that will remain through HRT and GRS, and is relatively cheap as medical costs go. Dunno how that'll fly, but not sure how else to approach it.
Thank you, this was super useful while trying to fight my insurance to cover my labs. Next step is to complain to my employer to see if I can get them to remove their exclusions!
As I am on Indiana Medicaid for the next year and will be hitting the 1 year HRT mark in August, I'm like "Oh shit. I think I can look into getting an orchi done." And this will be helpful for it. And probably anything else down-the-line.
Here I am 2 years later after using this article and I finally got pre-authorization for FGAS after fighting my self-insured company and insurance. Thank you for all of the resources and love you put out.
5 days post-op and healing up. Feeling like I can metaphorically and ACTUALLY breathe(I must have had a deviated septum) Seeing myself in the mirror w/o the dysphoria bells ringing has been bliss.
The work you put into the community is greatly appreciated. It has helped me and others.
I love your blog overall, and have had this post pinned in a browser window since before comprehensive coverage took effect in my state, which fortunately happened before I got around to trying this process. However, I've now run into a remaining coverage gap, and wonder if this can still apply for that.
So, what prospect might there be to force coverage of fertility preservation? I reluctantly stopped estrogen a few weeks ago after one insurance agent thought it should be covered under Oregon HB2002, but now another agent is telling me it's definitely not, unless I can succeed on appeal with some argument of medical necessity. They seem to have covered my intake consult for it, but apparently won't cover the actual process. Sadly, I can't seem to find anything helpful in WPATH8, which only has recommendations about informing the patient and referrals for discussing options, and nothing about following through. Has anyone succeeded in this process for that? Do you know of any resources, or have any advice?
Fertility stuff is usually considered elective for anyone, as I understand it. It's why IVF is so incredibly expensive to families with fertility issues.
I'm sorry. I don't have good answers on this one.
Well thanks anyway. I was thinking of trying to make the argument that sperm banking is the only kind of reproductive health that will remain through HRT and GRS, and is relatively cheap as medical costs go. Dunno how that'll fly, but not sure how else to approach it.
Looked into it. Indiana insurance doesn't have an official policy for exceptions (yet) for any surgery for what I can find. At least the plan I'm on.
In fact, a gender dysphoria diagnosis does mean I can get a breast augmentation and FFS covered.
Thank you, this was super useful while trying to fight my insurance to cover my labs. Next step is to complain to my employer to see if I can get them to remove their exclusions!
As I am on Indiana Medicaid for the next year and will be hitting the 1 year HRT mark in August, I'm like "Oh shit. I think I can look into getting an orchi done." And this will be helpful for it. And probably anything else down-the-line.
Orchies are usually pretty easy to get coverage for. Good luck!!
Here I am 2 years later after using this article and I finally got pre-authorization for FGAS after fighting my self-insured company and insurance. Thank you for all of the resources and love you put out.
That's wonderful to hear! Congratulations!!
Last comment about FFS, I swear : 3
5 days post-op and healing up. Feeling like I can metaphorically and ACTUALLY breathe(I must have had a deviated septum) Seeing myself in the mirror w/o the dysphoria bells ringing has been bliss.
The work you put into the community is greatly appreciated. It has helped me and others.
OH MY GOSH, I'M SO HAPPY FOR YOU!!! And I know exactly what you mean--it felt like I'd been given a whole new reality to live.
Heal well, and beware the Month 2-5 dysphoria pit where everything is saggy. It'll snug up.