Navigating insurance and dealing with coverage can be really intimidating, but you don’t have to figure it out on your own. Every plan, policy, and state is different when it comes to coverage, so if you’re running into issues that you can’t tackle on your own, reaching out to your nearest insurance navigator will be the easiest way to take care of appealing denials, dealing with gendered medical coding, etc.

Many healthcare offices have someone in their billing department who is able to help you work out problems with your insurance company, whether that’s helping you argue that certain procedures are necessary, or adjusting the way something is coded for billing. If you’re having trouble, asking your doctor’s office for help is always a good first step!

Resources:

UCSF–Health Insurance Coverage Issues for Transgender People in the United States

Planned Parenthood of MI–Hormone Prescriptions at the Pharmacy

Healthcare.Gov–Filing Internal Appeals

Healthcare.Gov–Filing an External Review

National Center for Transgender Equality–Know Your Rights in Healthcare

National Center for Transgender Equality–Getting Your Healthcare Covered: A Guide for Transgender People

Out2Enroll–Transgender Health FAQ’s

Out2Enroll–2023 Trans Insurance Guide

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