保险责任范围
To find out if your insurance covers gender affirming medical and surgical services, you need to ask if you have benefits or coverage for transgender/gender dysphoria. You will also need to ask if both the provider AND the facility are in network for your plan.
之前的授权
We will need prior authorization from your insurance company before we begin any gender affirming surgery services. 保险 companies use the prior authorization process to ensure that your surgery is covered. This process can take up to six months depending on your insurance provider. You should call your insurance for updates directly.
For any questions about the prior authorization process for bottom surgery, 请致电801-213-2195, 选项4. For all other plastic surgery services press option 3. If you reach our voicemail, please leave your:
- 名字，
- 电话号码，及
- 出生日期.
网外的计划
If our providers are not in-network, ask your insurance company if you would qualify for a gap exception. A gap exception can sometimes be granted as a covered service if there are no other in-network providers in the area who offer that service. 检查大发娱乐的 保险信息 to verify whether University of Utah Health is in your network of coverage.
Please note that we are actively working with all of the payers in Utah to advocate for medically necessary care as a covered benefit.
Your 责任 During the 保险 Process
Although our teams will submit the prior authorization to your insurance for coverage, you are responsible for the following:
- Ensuring we have all the required items for the prior authorization, 比如支持信.
- Checking in with your insurance company for updates.
- Finding out your benefits, out of pocket maximum, and other insurance coverage questions.
How to Be Your Own Health 保险 Advocate
Finding your Out-of-Pocket Estimate with 保险 or a 自费 Estimate
访问大发娱乐的 定价页 to see all the out of pocket and self-pay costs for our services. You do not need a My图表 account to see an estimate.
Once you are on the My图表 病人 Estimates page, click on the box labeled “Gender Affirmation.”
对于每个程序或服务, you can click on the insurance options to obtain an out of pocket estimate with your insurance OR click “skip this step” to see the self-pay price without insurance. Note some services are self-pay pricing only; other services allow quotes for both self-pay and with insurance.
Most services qualify for a 30 percent discount if you are self-pay. Other out of pocket costs may include medications, labs, and pre and post-operative supplies.
自付手术费用
If you are using self-pay for surgery, you will need to pay the total fee in full by the scheduled date of your surgery. We accept all major credits cards. You can also use third party financing to pay for your surgery.
Please reach out to our team if you have questions about a quote or pricing.
呼叫 801-213-2195 选项4 or email transgenderhealth@hsc.犹他州.edu.
BLISCare 保险 for 自费 病人
If you don’t have health insurance and are paying for gender affirming bottom surgery on your own, you must purchase BLISCare insurance.
University of Utah Health's gender affirming surgery team are approved BLISCare surgeons. Becoming a BLIS Surgeon is a very selective process determined exclusively by BLIS. This means that we meet very high standards for short-term outcomes and long-term patient success.
因为大发娱乐是BLIS批准的, we are able to participate in an innovative new insurance coverage which allows us to make a unique commitment to our self-pay patients:
- If you have a covered complication within a certain time frame after your surgery, you are not responsible for the costs associated with caring for that complication.
** This complication protection is only offered as part of the package price for your bottom surgery. We are happy to provide this benefit to our patients, easing your mind and your wallet in this important decision to have a life-saving surgery.
**Other terms and conditions apply. Please contact our office and review the self-pay contract for further details about this program.
Sign up for a Gender-Affirming 保险 Plan
To sign up for an insurance plan, visit 犹他州保重, a Utah Health Policy Project Initiative. 犹他州保重 focuses on helping people sign up for health insurance free of charge. This includes both Medicaid and marketplace plans.
除了, you can search under each insurance plan’s medical policy for transgender benefits to see if they provide gender affirming services.
联系Ciara Mao（她/她） ciara@healthpolicyproject.org 了解更多信息.
其他财政资源
寻找其他财务资源, such as grants and other financial aid opportunities, with local and national community organizations.