Aetna transgender coverage

Does Aetna cover transgender care?

In 2015, Aetna will cover gender reassignment surgery in 33 Aetna plans offered to federal employees through the Federal Employee Health Program (FEHBP). Aetna has FEHBP plans available in all 50 states. … Aetna has long been supportive of the LGBT (lesbian, gay, bisexual and transgender) community.

Does Aetna cover laser hair removal?

Introduction. Aetna plans exclude coverage of cosmetic surgery that is not medically necessary, but generally provide coverage when the surgery is needed to improve the functioning of a body part or otherwise medically necessary even if the surgery also improves or changes the appearance of a portion of the body.

Does insurance cover transgender hormones?

It is illegal for most private insurance plans to deny coverage for medically necessary transition-related care. Your private insurance plan should provide coverage for the care that you need. However, many transgender people continue to face discriminatory denials.

Does Aetna cover rhinoplasty?

Aetna considers septoplasty medically necessary when any of the following clinical criteria is met: Asymptomatic septal deformity that prevents access to other intranasal areas when such access is required to perform medical necessary surgical procedures (e.g., ethmoidectomy); or.

Does Aetna cover transgender hormone therapy?

Aetna considers gonadotropin-releasing hormone medically necessary to suppress puberty in trans identified adolescents if they meet World Professional Association for Transgender Health (WPATH) criteria (see CPB 0501 – Gonadotropin-Releasing Hormone Analogs and Antagonists).

What does transgender mean in English?

“Transgender” is an umbrella term that describes people whose gender identity or expression does not match the sex they were assigned at birth. For example, a transgender person may identify as a woman despite having been born with male genitalia.

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Does Aetna cover cortisone shots?

Aetna considers intralesional injection of steroid medically necessary for the treatment of inflammatory nodulo-cystic acne. Intralesional steroid injection is considered experimental and investigational for other types of acne (e.g., acne conglobate, acne fulminans, and pyoderma faciale; not an all-inclusive list) .

Can laser hair removal help HS?

How effective is it? In studies, laser hair removal improved HS by 32 to 72 percent after 2 to 4 months of treatment. However, the treatment only seems to work in people with mild disease — those with stage 1 or 2 HS. One advantage to laser treatment is that it doesn’t cause body-wide side effects like pills do.

How do I get Aetna to pay for bariatric surgery?

To qualify for weight loss surgery and have it covered by Aetna you must meet the criteria below.

BMI exceeding 40 with one or more of the following serious comorbidities:

  1. Clinically significant obstructive sleep apnea; or.
  2. Type 2 diabetes mellitus; or.
  3. Pseudotumor comorbidities.

What insurance covers facial feminization surgery?

Most other insurance plans do not cover FFS and consider it as cosmetic surgery. These are usually self-insured employer plans which are administered by well-known insurers such as Blue Cross Blue Shield, United Healthcare, Harvard Pilgrim Healthcare, and Tufts Health Plan.

When did Transgender become popular?

In the late 1950s and 1960s, modern transgender and gay activism began with the 1959 Cooper Donuts Riot in Los Angeles, 1966 Compton’s Cafeteria riot in San Francisco, and a defining event in gay and transgender activism, the 1969 Stonewall Riots in New York.

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Is Top surgery considered cosmetic?

Health insurance might not cover surgical procedures considered cosmetic for the general population, even though these procedures might be essential to alleviating your gender dysphoria. You might also consider talking to other transgender men who’ve had top surgery before taking this step.

Is rhinoplasty medically necessary?

Rhinoplasty is considered medically necessary if the medical appropriateness criteria are met. (See Medical Appropriateness below.) Rhinoplasty for the purpose of altering the external appearance of the nose in the absence of disease, trauma or injury is considered cosmetic.

Does Aetna cover bunion surgery?

Aetna considers foot cheilectomy medically necessary for symptomatic relief of either of the following conditions: Painful bony spurs in the earlier stages of an arthritic joint; or.

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