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Old 05-14-2011, 08:35 PM   #1
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I have a question for those who have had top surgery. How did you pay for your surgery?

It has been suggested that I have a reduction for health reasons and my insurance would pay for it. As tempting as that sounds they wouldn't be gone they'd still be there just much smaller.

So how did you pay for your surgery?
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Old 05-14-2011, 08:41 PM   #2
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I have a question for those who have had top surgery. How did you pay for your surgery?

It has been suggested that I have a reduction for health reasons and my insurance would pay for it. As tempting as that sounds they wouldn't be gone they'd still be there just much smaller.

So how did you pay for your surgery?
Actually that is one way to do it. The Insurance Company cannot verify how the procedure is done (HIPPA violation), just that the surgeon has done it. I will be applying to see if my insurance will cover mine (Dr. V. has said that I'm large enough and with the back issues I've had to potentially qualify this way).

That said, I still have to cover it on my own and apply for insurance coverage. For me, I had some money saved to pay for taxes I thought I'd pay but turned out I didn't need to and that I actually got a refund. The combination of the two was enough to cover the cost of surgery.

There are some grants you can get. Look for the Jim Collins Foundation. They were created to cover surgery costs specifically for trans individuals in need.
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Old 05-14-2011, 08:47 PM   #3
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Actually that is one way to do it. The Insurance Company cannot verify how the procedure is done (HIPPA violation), just that the surgeon has done it. I will be applying to see if my insurance will cover mine (Dr. V. has said that I'm large enough and with the back issues I've had to potentially qualify this way).

That said, I still have to cover it on my own and apply for insurance coverage. For me, I had some money saved to pay for taxes I thought I'd pay but turned out I didn't need to and that I actually got a refund. The combination of the two was enough to cover the cost of surgery.

There are some grants you can get. Look for the Jim Collins Foundation. They were created to cover surgery costs specifically for trans individuals in need.
Hey, Linus.

I thought you had Aetna? Do they no longer pay for male chest reconstruction/gender identity medical services?
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Old 05-14-2011, 08:48 PM   #4
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Hey, Linus.

I thought you had Aetna? Do they no longer pay for male chest reconstruction/gender identity medical services?
They do. I have to prove all that. Dr. V indicated that I could probably apply under either. The downside is that I have a $5K+ deductible so.. I'm still paying for the majority of it :P
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Old 05-14-2011, 08:50 PM   #5
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They do. I have to prove all that. Dr. V indicated that I could probably apply under either. The downside is that I have a $5K+ deductible so.. I'm still paying for the majority of it :P
5K? Holy Crap! That stinks! Sorry, man.
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Old 05-14-2011, 10:23 PM   #6
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They do. I have to prove all that. Dr. V indicated that I could probably apply under either. The downside is that I have a $5K+ deductible so.. I'm still paying for the majority of it :P
Once you hit that deductible make sure to get any and all medical stuff needed done before years end!
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Old 05-15-2011, 06:36 AM   #7
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Once you hit that deductible make sure to get any and all medical stuff needed done before years end!
Yes for sure, actually my friend that had the reduction done did exactly that. Including having a baby at the end of that year.......can you imagine having a baby for free. That has to be about as awesome as a trans guy having top surgery
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Old 05-15-2011, 09:18 AM   #8
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FYI.. interesting project: http://www.kickstarter.com/projects/...ss-transgender
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Old 05-14-2011, 10:28 PM   #9
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I have a question for those who have had top surgery. How did you pay for your surgery?

It has been suggested that I have a reduction for health reasons and my insurance would pay for it. As tempting as that sounds they wouldn't be gone they'd still be there just much smaller.

So how did you pay for your surgery?
I had contemplated this and in fact my insurance at the time denied the claim despite all my back problems. They said I had too many and that it wouldn't help! Wrong ... but I am glad they didn't at the time because I wouldn't have been happy with just a reduction and couldn't imagine doing surgery twice. I'm gettin older and the healing time and process more lengthy each time.

I ended up getting a car accident settlement that was enough to pay for my surgery and time off work since i had a job without vacation or sick time.

Don't recommend that route but my experience was everything just happened when it needed to happen. It Fell into place at the time that my sanity was wearing out and something needed to be done. Got the money and had surgery two weeks later because it was the slow period of work and if I was going to miss that was the time to be off.
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Old 05-17-2011, 08:43 AM   #10
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Originally Posted by Blade View Post
I have a question for those who have had top surgery. How did you pay for your surgery?

It has been suggested that I have a reduction for health reasons and my insurance would pay for it. As tempting as that sounds they wouldn't be gone they'd still be there just much smaller.

So how did you pay for your surgery?

I'm going to answer your question and also another common question that's asked, simply so others will know what this takes, moneywise, to do, since this procedure is seldom covered by insurance at all.

I paid entirely out of my own pocket. Dr. V's fee, about $7750, included everything (he has his own accredited surgical center) except the lab pathology, which ran about $450. Surprisingly, my health insurance (FEHB) paid for that, minus a $38 deductible, which I paid.

I had to travel to Newport Beach, California, from here in Las Vegas, so by the time I added up the travel expenses (for my girlfriend and me), hotel, meals, etc., the total cost was right under $10K.

~Theo~
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Old 05-29-2011, 09:41 PM   #11
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I'm going to answer your question and also another common question that's asked, simply so others will know what this takes, moneywise, to do, since this procedure is seldom covered by insurance at all.

I paid entirely out of my own pocket. Dr. V's fee, about $7750, included everything (he has his own accredited surgical center) except the lab pathology, which ran about $450. Surprisingly, my health insurance (FEHB) paid for that, minus a $38 deductible, which I paid.

I had to travel to Newport Beach, California, from here in Las Vegas, so by the time I added up the travel expenses (for my girlfriend and me), hotel, meals, etc., the total cost was right under $10K.

~Theo~
Are you happy with the results from Dr. V? If he is in Newport beach, that would be ideal for me. I'm still trying to figure out how to raise funds for my surgery. It's getting to a point, where I don't care what I need to do to make this happen.
I have Kaiser insurance, but I'm pretty sure they won't cover squat. I've asked my Endo about it, and he pretty much confirmed that.
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Old 05-29-2011, 10:57 PM   #12
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Are you happy with the results from Dr. V? If he is in Newport beach, that would be ideal for me. I'm still trying to figure out how to raise funds for my surgery. It's getting to a point, where I don't care what I need to do to make this happen.
I have Kaiser insurance, but I'm pretty sure they won't cover squat. I've asked my Endo about it, and he pretty much confirmed that.
Hey cris did I ever show you my surgery? Dr V is who I went to. Yes he is in newport beach. He was more around 8k for me. Linus just had his with Dr. V so he would know the most current rates. Nice thing is you would cut down other costs with how close he is to you.
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Old 05-29-2011, 11:22 PM   #13
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Hey cris did I ever show you my surgery? Dr V is who I went to. Yes he is in newport beach. He was more around 8k for me. Linus just had his with Dr. V so he would know the most current rates. Nice thing is you would cut down other costs with how close he is to you.
The total cost for me was about $8400 (including labs). However, since I've had some prior back issues apparently the insurance has no problem covering some of it. That has meant my actual out of pocket was $4900 (not including Lazy Boy costs, although I am wondering if I can write that off as a medical expense ).

I'm just about a week past the surgery but thus far have been happy. The reality is that the rest will be up to me and how I take care of my chest going forward. In another week I go for stitch removal I believe and a check up. I like that I don't have to visit constantly in person and can just email photos to him so he can see how I'm recovering. Saves time (which for me is more of an issue than money).
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Old 05-29-2011, 11:44 PM   #14
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I said to use peroxide on the adhesive, not the wound. Again Vitimen E oil should be used ONLY on closed wounds and AFTER stitches have been removed.

I did say that didn't I?
My comments were not directed to you. I posted what I did, bc some are new out of surg., and the incisions may not be closed. Many of the top surgeons are now not using sutures, they are closing up the entire line with steri strips or some such product. So for some the adhesive IS directly on the entire incision.
I had 192 strips I believe. Some came off clean, others left a mess. Dr. even told me not to use soap & water until it was closed bc he wanted it to stay dry. He said those "nastys" covering it, were actually protecting it.
It was a happy day indeed when I could wash & shower.

2 of the most often misused OTCs after surg. is the 2 I mentioned. It was my intention to educate on those items. I know after my surgery, literally everyone I spoke too, offered a remedy idea for some facet of my Tx. For many yrs (some still do) Drs would tell you to clean the wound area w/ peroxide, then apply antibiotic ointment. As of 3 yrs ago, this is no longer the accepted standard. Some old die hards still refuse to move forward.

The source of my info is the textbook, handbook for wound care, and info given during one of the 1st Wound Care Certification courses held in the nation.
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Old 05-30-2011, 10:37 AM   #15
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My comments were not directed to you. I posted what I did, bc some are new out of surg., and the incisions may not be closed. Many of the top surgeons are now not using sutures, they are closing up the entire line with steri strips or some such product. So for some the adhesive IS directly on the entire incision.
I had 192 strips I believe. Some came off clean, others left a mess. Dr. even told me not to use soap & water until it was closed bc he wanted it to stay dry. He said those "nastys" covering it, were actually protecting it.
It was a happy day indeed when I could wash & shower.

2 of the most often misused OTCs after surg. is the 2 I mentioned. It was my intention to educate on those items. I know after my surgery, literally everyone I spoke too, offered a remedy idea for some facet of my Tx. For many yrs (some still do) Drs would tell you to clean the wound area w/ peroxide, then apply antibiotic ointment. As of 3 yrs ago, this is no longer the accepted standard. Some old die hards still refuse to move forward.

The source of my info is the textbook, handbook for wound care, and info given during one of the 1st Wound Care Certification courses held in the nation.
Yeah, my sutures were internal along my incisions. I had to have paper tape on them for 2 weeks. When I took the tape off they were pretty much closed except for some scabs. I left the scabs alone and let them come off by themselves. I could at that point shower but not let the water hit directly on my chest or rub it to dry off. I still can't do that yet. But its nice to be able to actually shower instead of having sponge baths. Anyhoo, my doc said no ointments or anything on my incisions once the tape came off. At this point the scabs are all gone and my wounds are closed.
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Old 05-30-2011, 11:08 AM   #16
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Default from my life...

Itching could be:

healing, skin not 'breathing' so well because it is covered/wrapped, an allergic reaction - to tape, anesthesia, betadine, sumthin else...

hair growing back - nerves reconnecting - scar tissue forming....


Benedryl can help with itching for various reasons, you can try a dose or two and see if it makes a difference - it's good to have in the house anyway if someone has a bad reaction to something. Benedryl comes in pills, cream/gels, and spray - good for different things.

Mederma is really good for scar tissue, especially if your skin heals with keloids. I still put it on years after a burn when I feel deep tingles in that area. It is only for closed skin.

Cut nerves reconnect with anything from nothing to tingles to sharp zings to pain.

Linus, you are probably too soon for scar tissue and in the healing, hair growing, skin not breathing category - somewhere...just my opinion.

Good healing and blessings to all.
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Old 05-30-2011, 03:43 PM   #17
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My comments were not directed to you. I posted what I did, bc some are new out of surg., and the incisions may not be closed. Many of the top surgeons are now not using sutures, they are closing up the entire line with steri strips or some such product. So for some the adhesive IS directly on the entire incision.
I had 192 strips I believe. Some came off clean, others left a mess. Dr. even told me not to use soap & water until it was closed bc he wanted it to stay dry. He said those "nastys" covering it, were actually protecting it.
It was a happy day indeed when I could wash & shower.

2 of the most often misused OTCs after surg. is the 2 I mentioned. It was my intention to educate on those items. I know after my surgery, literally everyone I spoke too, offered a remedy idea for some facet of my Tx. For many yrs (some still do) Drs would tell you to clean the wound area w/ peroxide, then apply antibiotic ointment. As of 3 yrs ago, this is no longer the accepted standard. Some old die hards still refuse to move forward.

The source of my info is the textbook, handbook for wound care, and info given during one of the 1st Wound Care Certification courses held in the nation.
Did i quote you? No I did not. Assume what you will.
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Old 05-30-2011, 04:42 PM   #18
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Hey cris did I ever show you my surgery? Dr V is who I went to. Yes he is in newport beach. He was more around 8k for me. Linus just had his with Dr. V so he would know the most current rates. Nice thing is you would cut down other costs with how close he is to you.
I figured I would probably need to prepare for 10k. But 10k is a lot of money.
Yes it is very convenient that Newport is nearby, and that would greatly save me some cash. I wish that Kaiser would cover something
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Old 05-30-2011, 06:00 PM   #19
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I figured I would probably need to prepare for 10k. But 10k is a lot of money.
Yes it is very convenient that Newport is nearby, and that would greatly save me some cash. I wish that Kaiser would cover something
TCB, do an initial consult with Dr. V as his office might be able to get it covered in some fashion. It doesn't hurt to ask them as I know they've dealt with different providers. I didn't get it all covered but basically got about half was. Still better than nothing.
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Old 05-30-2011, 10:39 PM   #20
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TCB, do an initial consult with Dr. V as his office might be able to get it covered in some fashion. It doesn't hurt to ask them as I know they've dealt with different providers. I didn't get it all covered but basically got about half was. Still better than nothing.
Thanks Linus. Do you know what he charges for a consultation?? What's his full name?
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