Ask a trans person!

[TCB]

Originally Posted by DapperButch

I believe that Aetna continues to be the only insurance that will cover male reconstructive top surgery, however, you can call your insurance directly, and ask.

You may find a doctor who is willing to adjust the ICD-9 code (medical/billing code) to breast reduction, but you would have to meet the criteria for a medically needed breast reduction, which is based on a number of things, including measurements of indentations in your shoulders from bra straps, a documented history of back problems due to chest size, etc.

(In regards to the above, I have not heard of any surgeons that fudge the ICD-9 code, but it would not surprise me if there were some surgeons out there who would be willing to do this due their empathy around transpeople's issues).

Originally Posted by The Oopster

One never knows what insurance will covers. If you can somehow show a medical necessity one never knows what will happen.

The doctor who handles my testosterone told me that he got an mtf's bottom surgery covered. Something was off with her prostrate and they contacted her insurance and asked rather then putting her on meds would they cover surgery to have the testicals removed and they did.

This is all very true. I asked my endo though, and he was very quick to respond that Kaiser will not cover it. He didn't exactly suggest attempting to work around it either. He basically told me there are two companies you can go work for that will cover it (I can't remember now which ones).
To my knowledge, I don't believe I have medical reasons for him to try and slip it through the cracks.....unfortunately (as bad as that it to say). I'm grateful for my health.