Dr. Satterwhite works exclusively with trans women, trans men and non-binary patients seeking Gender Confirmation procedures such as Vaginoplasty, Facial Feminization, and FTM Top Surgery. FHS/FFS (Facial Harmonization Surgery / Facial Feminization Surgery) Metoidioplasty/Phalloplasty Vaginoplasty/Vulvoplasty Classes cover the following material: Surgical options and techniques Surgery planning and pathway at Kaiser Post-operative care and recovery Most sessions also include a patient panel Dr. Mundinger is a board-certified plastic surgeon with extensive training and expertise in craniofacial surgery, microsurgery and gender-affirming surgery. surgical techniques and analysis of results. Patients seeking services from our practice arepersonally and fully responsible for paymentof all fees and costs related to your FFS surgery and medical care. In the rare instance that FFS Surgery is included in your health insurance policy, services may be incomplete or function only on a reimbursement basis. Beginning in June 2021, Dr. Esmonde will serve as a full-time Associate Surgeon with The Meltzer Clinic offering the full spectrum of gender-affirming procedures. https://links.lww.com/PRSGO/B647.). 1. Data is temporarily unavailable. As an example, the typical timeline for our Group B and C patients is as follows: 1. generic exclusions referenced under "general surgery guidelines" and "cosmetic procedures." South Dakota (0) State Medicaid has no . San Francisco, CA 94108. Dr. Ellie Zara Ley, MD is an accomplished board-certified plastic surgeon who had more than 15 years of specialized training in plastic, craniofacial and micro surgery before learning the art of Gender Confirmation Surgery. Gender-affirmation surgery gives transgender people a physical appearance that aligns with their gender. Our team will help you set up a MyChart account where you will have the ability to fill this out online. Dr. Salgado is a board-certified plastic surgeon with deep expertise in gender-affirming procedures. However, its important to be aware that the terms and conditions of many insurance policies do not recognize coverage for the cost of FFS, or may exclude coverage for the services provided to you. I recommend the pioneer of FGCS, Dr. Douglas Ousterhouts book, Facial Feminization Surgery: A Guide for the Transgendered Woman for those looking to learn more about what skill and training is involved and a breakdown of procedures as he performed them, but Ill attempt to summarize. Dr. Gurjala joined Align Surgical Associates in 2019, after five years of performing gender surgery, microsurgery, and general reconstructive and aesthetic surgery in the Kaiser Permanente healthcare network. I always advise people to try with the insurance they have before they switch to another plan. 2015; 136:560e561e. Each letter should state "this procedure is medically necessary treatment. With all letters, I advise providers to be as authoritative in their tone as possible, and to explicitly claim an expert status if appropriate. Finding a Surgeon Integral to this whole process is the FGCS surgeon. We have a dedicated Insurance Advocacy Team that handles the entire process of insurance approval for patients; we send all your documents to your insurance providers and work with them to try and secure coverage to the fullest extent. Among the various gender-affirming procedures, facial feminization surgery (FFS) is arguably the most commonly denied surgery, as insurance companies often deem the involved procedures as cosmetic and not medically necessary. Error bars denote standard error. Error bars denote standard error. Plast Reconstr Surg. Bottom surgery, or changing the genitalia, costs an estimated $25,600 for male-to-female patients and about $24,900 for female-to-male, according to The Philadelphia Center for Transgender. Your scars may take up to a year to heal. We recommend you take at least two weeks off from work to recover, but expect up to six to eight weeks of decreased activity. He currently performs approximately 200 genital reconstruction surgery cases per year in Scottsdale, Arizona and Portland, Oregon. If not, remember youre never alone and there are a range of transgender support agencies that you can tap into. You should be able to have easy access to this document through your insurance provider. Disclosure: All the authors have no financial interest to declare in relation to the content of this article. Plast Reconstr Surg. He serves as Division Chief of Plastic & Reconstructive Surgery at Rush University Medical Center in Chicago, and Program Director of the Plastic & Reconstructive Surgery Fellowship. Health insurance is unnecessarily difficult when it comes to gender affirming surgery. Do you have a deductible to meet? Before getting into the nitty gritty details, let me be real with you, and let me be hopeful. 2018 Physician Compensation Report. After a person pays the deductible, Medicare pays 80% of the allowable costs . Gender-Affirmation Surgery | Transgender Surgery | The University of J Gen Intern Med. Every state is different so start with Google and reach out to these services in your state, theyre here for you! 3). Jaw contouring contours the mandible and narrows a full jaw by reducing angles in the lower face. Dr. Rodriguez is a board-certified plastic surgeon in San Francisco who is dedicated full time to providing surgical care for transgender patients. He has been performing gender surgery since 2005. In fact, he is one of the most experienced gender surgeons in the world. In addition to following WPATHs SOC format, it is helpful if it is specifically tailored to FGCS. Our practice does NOT contract with any insurance providers to allay the cost of your facial feminization surgery. You need an understanding of your insurance benefits in general: What would any covered surgery cost you? Thirdly, it is likely that the current work underestimated the total cost of the insurance approval process, as we could not quantify the cost of surgery cancelations, additional clinic visits, and unquantifiable administrative time. This is also the point at which general 201 level guidance ceases to be useful. Some of our patients use Care Credit to cover some of the cost of their facial feminization surgery. One potential consideration for reducing time and costs is to centralize administrative staff for gender health insurance authorizations. insurance appeals for pediatric reconstructive surgery: a micro cost analysis and how-to guide. 6. Although your FFS may not be covered by your insurance company its definitely worth doing the research. Please first read this resource for a general overview of insurance utilization for trans surgery. Facial Feminization Surgery (FFS) in Mexico - MyMediTravel Jess Ting - Plastic and Reconstructive Surgery | Mount Sinai - New York Home Profiles Mount Sinai Doctors Video Visit Available Accepting New Patients Jess Ting, MD Plastic and Reconstructive Surgery 4.6 Star s | 32 Responses CTMS 212-870-8270 View location details Book an Appointment About Me Clinical Focus Video Education & Certifications Awards Available at: 9. You need to be aware that there may be a difference between theallowed amount(maximum paid by the insurance company) and thebilled amount(the amount that the clinic charges for the 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. I cannot tell you what insurance plan to get that covers FGCS, there are too many variables. 1). Most other insurance plans do not cover FFS and consider it as cosmetic surgery. Facial Feminization | Dr. Patel Chicago | MTF Facial Plastic Surgery Group A is similar to other medically necessary reconstructive procedures where authorization is requested and procedures are authorized. Osseous transformation with facial feminization surgery: improved anatomical accuracy with virtual planning. Some insurance providers to provide coverage for facial feminization surgery and we will attempt to receive an approval for the procedures from . Unlike California plans, self-insured plans are not under the CA DMHC and, thus, the final outcome is more variable. Any reimbursement from the insurance company (if any) would be paid directly to the patient. Does Medicare Cover Facial Feminization Surgery? The time and costs necessary to achieve approval from insurance plans for FFS are not trivial. The average cost of facial feminization surgery (FFS) is $34,504, according to 213 reviews from RealSelf members. Days, a 50-year-old Berkeley resident, had just returned from a month-long trip to Spain in February, where she underwent a procedure known as facial feminization surgery, or FFS. The cheapest caesarean section is 48,000 baht (year 2020) including sterilization 53,000 baht. The concept and treatments were developed with transfeminine patients in mind in the 1980s, led by a San Francisco-based surgeon who devised measurements for a "normal" female appearance by surveying anthropological skeletal records. Insurance coverage for FFS is an important issue for a number of reasons for both patients and surgeons. The blossoming of academic medical centers offering transgender surgical care also means that more well respected surgeons, with appropriate craniofacial and maxilliofacial reconstructive training, are able to do procedures through insurance. For trans men, women and gender-nonconforming clients in Los Angeles, Santa Monica, San Diego and elsewhere in Southern California, Dr. Youssef offers Top Surgery, Breast Augmentation and Facial Feminization Surgery. Additionally, planning and recovering from any trans surgery is hard! . We're gonna try really hard to get my insurance to cover it, but I'm not holding my breath. Wolters Kluwer Health Due to the gender non-discrimination laws of the state, the denial is typically overturned and the procedures are authorized. Unlike Group B, patients within Group C only had plans that were self-insured under ERISA. may email you for journal alerts and information, but is committed Facial feminization surgery (FFS) is a group of cosmetic procedures that reconstruct facial features that appear masculine and alter them to become more feminine. Our surgeons specialize in a variety of facial feminization procedures, such as forehead reduction, jaw contouring, and chin surgery. Facial feminization surgery, or FFS, describes a set of complex procedures designed to "feminize" the face. Arch Intern Med. Call 913-588-6200 to request a consultation. Facial feminization surgery (FFS) involves a comprehensive set of procedures to make your face appear more feminine. This is called facial feminization surgery. Health insurance might not cover surgical procedures considered cosmetic for the cisgender population people whose gender identity matches the one they were assigned at birth even though these procedures are . The Ins & Outs of Traveling Abroad for FFS Surgery Facial Feminization Miami | The Maercks Institute Facial Feminization Surgery FFS Insurance Coverage Surgical Staff: 13 surgeons, each specialized in surgery ranging from plastic to maxillofacial surgery. Her surgery was performed by a craniofacial surgical team called the FACIALTEAM. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. Facial Feminization in Korea - Everything You Need to Know! 2). Call Your Insurance Company to Ask if Gender Affirming Surgery is a Covered Benefit. Additionally, the timeline for authorization is relatively opaque, thereby causing more uncertainty in patients and surgeons. Ultimately this letter is between you and your provider, but here is some sample language that has been helpful to patients I've worked with: "Patient X has been adherent to two years of hormone replacement therapy including (specific estrogen regimen.) On average, Dr. Keojampa is booking 8-12 months out for Aesthetic Craniofacial Surgery and Facial Feminization Surgery. However, California state law stipulates gender non-discrimination in health insurance, thus, Medi-Cal covers all procedures performed specifically for the purposes of gender affirmation. 2. 5. Notes. Feminizing surgery - Mayo Clinic Dr. Hadeed is a board-certified surgeon who specializes in Transgender Surgery, including chest/breast procedures, facial surgeries and body sculpting for both trans men and women. However, some insurers are beginning to cover FFS from select surgeons. Please note that before you can schedule . Out-of-pocket costs for FFS. If the insurer refuses those attempts, you can appeal externally, but that will almost certainly require professional legal support. Insurance authorization process for FFS.The insurance authorization process for FFS begins with submission of two letters of support from a mental health provider and primary care physician following surgical consult. Total Staff: 34. Ask to speak to people's supervisors. The differences between male and female facial features vary with age, ethnicity, and how early hormonal therapy began. The lady on the phone told me the surgery usually ranges from $60-100,000 dollars. Brow Lift. We detail our institutional experience to provide a roadmap for craniofacial surgeons to navigate the process in an effort to provide higher accessibility to transgender patients seeking facial reconstruction.
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