Transgender Man Wins Health Insurance Coverage for Gender Transition

Some good news in the continuing struggle to get health insurance to pay for transition related medical care for transgender patients.

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Victory! Union Affirms Ongoing Coverage for Transition-Related Care in Health Plan

By Melanie Nathan, December 22, 2015.

New York, NY – The Transgender Legal Defense & Education Fund (TLDEF) has secured insurance coverage for a transgender man’s medically necessary care after his union-sponsored health insurance plan refused to cover it.  Adrian Sealy works in a Rochester, NY hospital as a cleaning and sanitation specialist. He is a member of 1199 SEIU United Healthcare Workers East, the nation’s largest union for health care workers. The union is self-insured for its workers’ health care.

Screen Shot 2015-12-21 at 9.42.50 AMTwo years ago, Adrian began transitioning to live openly as male, changing his name and correcting legal documents. He began medical treatment, which included hormone therapy and a prescription for a hysterectomy. Earlier this year, Adrian’s doctor filed a pre-authorization request for his hysterectomy. Almost immediately, Adrian was informed that his health care would not be covered because…

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About Fairy JerBear

A disabled, trans/agender fairy bear living in the American Southwest and passionate about social justice, the environment, Trans/ LGBTQIA+ equality and combating bullying.
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