The codes used by U.S. medical providers to bill insurers haven’t caught up to the needs of trans patients or even international standards.
The discrimination I’ve gone through has been more unnerving than the awful disease.
Anthem spokesperson Michael Bowman wrote in an email that “there has been no medical denials or denial of coverage” because Anthem “preapproved coverage for these services.” Bowman wrote that “once this issue was identified, Anthem implemented an internal process which included a manual override in the billing system.”
Some procedures that trans patients receive can also be excluded from coverage because insurance companies consider them “sex-specific.” For example, a transgender man’s gynecological visit may not be covered because his insurance plan covers those visits only for people enrolled as women.
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