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.


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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