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Should insurance cover transgender/sexual related surgeries and procedures?

Reverend Rick

Frubal Whore
Premium Member
I don't think they should let the person die because they are stuck on what organs they have or not. What about someone who is born with both genitals? I wonder how the insurance company classify them? If you are sick and going to die and have paid your insurance premiums, they need to do everything to save your life.
 

Shadow Wolf

Certified People sTabber
First off, if the doctor is really abiding by the HIPPA laws, then why would they be worried about treating a transman with ovarian cancer? No one else will ever now about it, thus it wont hurt thier practice.

I agree that treatments should be covered by insurance. I could see an insurance company denying coverage for sex reassignment surgery, and other cosmetic surgeries, since not all trans people have them, thus putting up a statistic showing it's not essential for life functioning. I'm not saying it's right, but the numbers are there, and can be translated however.
I do however feel that therapy should definitly be covered, since almost every trans person does seek it, and even hormon therapy, to help the quality of life. From a simple POV, they are not neccessary to live, but then again neither are medications for the depressed, bi-polar, ADHD, and so on. Insurance does cover treatment for those, and thus hormon therapy pills should also be so. They are not nessecary, but they can greatly improve the overall quality of life.
 

Zephyr

Moved on
I'm with Aqualung here. If an insurance company wants to cover them, I'm in no place to argue, but if they don't, tough luck.
 

Jaymes

The cake is a lie
First off, if the doctor is really abiding by the HIPPA laws, then why would they be worried about treating a transman with ovarian cancer? No one else will ever now about it, thus it wont hurt thier practice.
I have no idea. However, I can tell you that Toccoa, where Robert Eads (the aforementioned transman) was from is mostly just like where I live. Small town mentality. I'd guess that they likely did it either simply because they could and decided he didn't deserve treatment, or because they were afraid that word would get out about it.
Zephyr said:
I'm with Aqualung here. If an insurance company wants to cover them, I'm in no place to argue, but if they don't, tough luck.
Is this your stance on all medications and procedures, or simply ones related to gender identity disorder?
 

Zephyr

Moved on
Is this your stance on all medications and procedures, or simply ones related to gender identity disorder?
All medications and procedures.

I try to keep it fair like that, despite my personal beliefs about transgender folks.
 

Ðanisty

Well-Known Member
I don't think they should let the person die because they are stuck on what organs they have or not. What about someone who is born with both genitals? I wonder how the insurance company classify them? If you are sick and going to die and have paid your insurance premiums, they need to do everything to save your life.
First of all, intersex people really don't have "both." There's no such thing as a perfect human hermaphrodite. The genitals are usually somewhere between male and female and there are all sorts of medical complications that can come into play. More importantly, intersex people currently are pretty much required to pick a gender to identify as. Some parents will even have their intersex children undergo surgery to assign a gender to them, but this often has terrible results. Some of the people who have been put through this surgery cannot even achieve any sort of sexual satisfaction. It really should be a crime to perform those surgeries on children, especially when they're usually too young to decide for themselves which gender they really identify with. Intersex people should be allowed to grow up and make their own decisions and frankly, I think they should have recognition such as on their driver's license. Basically, they're in the same boat as the transgender people.
 

Shadow Wolf

Certified People sTabber
I have no idea. ....
If it's you have no idea about HIPPA laws, they are basically laws that state patient information is to remain 100% confidential, and is to be released only those the patient gives consent. Even the doctor's secretary legally could not even know of the transman with ovarian canver.
 

Jaymes

The cake is a lie
If it's you have no idea about HIPPA laws, they are basically laws that state patient information is to remain 100% confidential, and is to be released only those the patient gives consent. Even the doctor's secretary legally could not even know of the transman with ovarian canver.
Maybe not legally, no. But from what I've been able to gather, it wasn't a secret that he was trans. Most of the doctors probably wouldn't want him seen at their offices regularly, since this is the South, and people talk.
 

fullyveiled muslimah

Evil incarnate!
I hate insurance companies and the whole health care system of this country. I say make 'em pay for everything you can. If you need to get an eyelash fixed, make 'em pay. If your nails broke, make 'em pay. Got the sniffles? Make 'em pay.

I feel it a shame that health care is such big business in this country. Other countries have either free or extremely affordable health care, so why not America? I think it's ridiculous to say the least. So yeah, transgender people should get all they can out of those insurance companies.

PS. it's your money anyway. When you pay a premium, you are basically storing money with them until when you need it. Thats with life insurance, car insurance, and health insurance. So if you're paying your premiums, then it's your money and they have no right to withhold it from you. I hate though that they actually technically have that exact right by law.
 

Aqualung

Tasty
Intolerance and discrimination is not something I'd give up my life for, to say the least.
Well, that's your choice, but I would give my life to keep random and uninterested from forcing other random people from doing something that they don't want to. As I said earlier, negative rights > positive rights, and that's the belief I'm willing to stand up for.

Tell that to the Hippocratic Oath.

Yet another peice of unncessary and coercisive legislation.
 

fullyveiled muslimah

Evil incarnate!
I have one question thought that will show my ignorance. When a person is post-op they don't remove the internal reproductive organs? I mean like with the ovarian cancer thing, why did not the doctors give a hystorectomy that included the removal of all female reproductive organs? Is that possible or is it troublesome? I don't understand.
 
I don't think they should let the person die because they are stuck on what organs they have or not. What about someone who is born with both genitals? I wonder how the insurance company classify them? If you are sick and going to die and have paid your insurance premiums, they need to do everything to save your life.

We are classified a either male or female like everyone else. But our condition is called intersexed.
 

Jaymes

The cake is a lie
I have one question thought that will show my ignorance. When a person is post-op they don't remove the internal reproductive organs? I mean like with the ovarian cancer thing, why did not the doctors give a hystorectomy that included the removal of all female reproductive organs? Is that possible or is it troublesome? I don't understand.
It completely depends on what procedures the individual goes through. Some trans men have hysterectomies, some don't. Since taking testosterone stops menstruation, some men won't get their uterus or ovaries removed. And some others will only get their uterus removed without the ovaries as well in case they ever have to go off testosterone (having no sex hormones floating around in your body messes up your bones pretty badly).

In many instances all that's required for some states to consider an operation a sex change is a letter from a doctor, and many doctors will consider simply chest reconstruction a sex change. Some also require you to be on testosterone, as well. They basically just have to say you've irrevocably changed your gender. It's very rare for doctors now to require a hysterectomy or phalloplasty for a letter that states your gender's been changed.
 
Back to the orginal question, to a degree I can see a certain amount should be covered. But were do you draw the line? Many genetic women would like to have some of those procedures covered, but they aren't.

But I'm against forcing insurance companies to do so.
 
I hate insurance companies and the whole health care system of this country. I say make 'em pay for everything you can. If you need to get an eyelash fixed, make 'em pay. If your nails broke, make 'em pay. Got the sniffles? Make 'em pay. quote]

That's all good and fine, but who do you think is really going to pay in the end. Those who pay for the insurance to start with.
 

Jaymes

The cake is a lie
Back to the orginal question, to a degree I can see a certain amount should be covered. But were do you draw the line? Many genetic women would like to have some of those procedures covered, but they aren't.

But I'm against forcing insurance companies to do so.
Many genetic women aren't going to commit suicide from dysphoria if they don't have these surgeries or transition.
 

jonny

Well-Known Member
Before you answer, I'd like to know if you think you have a good understanding of transgender/sexual issues. :)

Should insurance cover trans-related procedures and surgeries? If yes, which ones? If no, why not?

Another big problem trans men I've talked to have is getting pap smears and obgyn visits covered by their insurance. They need them, but if they're listed as male it won't cover them.

Should insurance companies change so that they're "gender-blind", so to speak?

Could I get a definition of trans-gender? Does that mean that someone has the reproductive organs of both a male and a female?
 
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