I tell everyone to plan for an initial denial- even if FGCS is covered in your plan clearly, its likely that portions of the procedure will be denied as cosmetic. Doctors and nurses take good care. 11. For people without local connections, the facebook group, " FFS Facial Feminization Surgery / Transgender TG TS " and the FFS Forums on susans.org are good places to seek community support as well. We performed a cost analysis of the pre-surgical insurance process for patients seeking FFS. may email you for journal alerts and information, but is committed He is also skilled at multiple techniques of Top Surgery, Breast Augmentation and Body Sculpting. We believe that for many transgender women, FFS is medically necessary to treat gender dysphoria. Surgery will be carried out under general anaesthetic and can typically range from around 4 to 8 hours depending on the procedures. The cost of the administrative and attending craniofacial surgeon effort for Groups B and C averaged approximately $900, over 20-fold more than Group A. Ultimately this letter is between you and your provider, but here is some sample language that has been helpful to patients I've worked with: "Patient X has been adherent to two years of hormone replacement therapy including (specific estrogen regimen.) Both of these methods are. One of the major issues among surgeons and patients with regard to insurance coverage for FFS is the lack of understanding of the process as coverage for gender healthcare is highly variable depending on state law and plan variabilities (Table 3). Submission and review of IMR (1 month). Tijuana, Cancun, Mexicali, and Monterrey are some of the more popular cities in Mexico for medical tourism and the flowing procedures: Dental treatments including dental surgery. Two letters from mental health providers. Facial Feminization in Korea - Everything You Need to Know! Co-insurance past that? Facial feminization surgery (FFS) includes a series of plastic and craniofacial surgical procedures designed to feminize the face. Facial feminization surgery can be covered by health insurance in some instances. See all insurance information. Search by U.S. State, Procedure and Insurance Search by Country and Procedure Browse the Global Surgeon Maps. However, I personally know multiple people who have achieved coverage for FGCS through state Medicaid in both NY and California. We're gonna try really hard to get my insurance to cover it, but I'm not holding my breath. Health Insurance Utilizing coverage under a health insurance plan is often the most affordable way to pay for FFS. For self-pay patients, cost will frequently dictate the operative and postoperative setting such that patients may be preferentially or solely performed in an outpatient setting. Surgeries are performed by our world experts in facial reconstructive surgery, including: Drs. Patients who are definitively denied (Group C) may then exit their employer-based plan and switch to a plan under California jurisdiction on the health insurance exchange. (See table 2, Supplemental Digital Content 2, which displays the total time and cost of the insurance approval process per group. There is also a great deal of discussion on various internet forums and also on social media in terms of how to reduce the cost of your facial feminization surgery by claiming the procedure on your health insurance. If the insurer refuses those attempts, you can appeal externally, but that will almost certainly require professional legal support.
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