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Testosterone, Injectable Youth Services:
Back to top Updated on Nov 11, 2021 Virtually all major insurance companies recognize that transgender-related medical care is medically necessary and have a written policy describing their criteria for when plans they administer will cover it. Below is a list of such policies. The fact that an insurance company is listed below does not mean that your particular plan will follow these guidelines. You must look to your individual policy to determine if transgender care is covered or excluded. Only if it is covered will the policies below apply. Medical policies are frequently updated. Please contact us if your company's policy is not listed or is out of date. Aetna AllWays Health Partners Ambetter Peach State Health Plan (Centene Corporation) Ambetter from Buckeye Health Plan (Centene Corporation) AmeriHealth AmeriHealth Caritas of Florida AmeriHealth Caritas of Louisiana AmeriHealth Caritas of New Hampshire Amerigroup Amerigroup (Anthem) Amida Care Anthem Anthem Blue Cross (California) Anthem Blue Cross Blue Shield Arkansas Blue Cross Blue Shield Aspirus Arise Asuris AvMed Blue Cross Blue Shield Federal Employee Program Blue Cross Blue Shield of Illinois Blue Cross Blue Shield of Kansas Blue Cross Blue Shield of Kansas City Blue Cross Blue Shield of Massachusetts Blue Cross Blue Shield of Minnesota Blue Cross Blue Shield of Montana Blue Cross Blue Shield of New Mexico Blue Cross Blue Shield of North Carolina Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Oklahoma Blue Cross Blue Shield of Rhode Island Blue Cross Blue Shield of Tennessee Blue Cross Blue Shield of Texas Blue Cross Blue Shield of Vermont Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Florida Blue Cross and Blue Shield of Nebraska Blue Cross of Idaho BlueChoice Healthplan of South Carolina BlueCross BlueShield of South Carolina BlueCross BlueShield of Western New York Boston Medical Center HealthNet Plan / Well Sense BridgeSpan Health California Capital BlueCross CareAllies CareFirst BlueCross BlueShield CareSource Cigna ConnectiCare EmblemHealth - New York Empire Blue Cross Blue Shield Empire Blue Cross Blue Shield (Anthem) Excellus Blue Cross Blue Shield Fallon Health GEHA Gateway Health Geisinger Health Plan HMSA Harvard Pilgrim Health Care Harvard Pilgrim Health Care (Stride HMO Medicare Advantage) Hawaii Medical Service Association Health Net HealthPartners Healthy Blue (Louisiana Medicaid) Highmark Blue Cross Blue Shield (Pennsylvania) Highmark Blue Cross Blue Shield Delaware Highmark Delaware Highmark West Virginia Horizon Blue Cross Blue Shield of New Jersey Humana Husky Health Connecticut (Medicaid) Independence Blue Cross Inland Empire Health Plan (IEHP) (Medi-Cal) Johns Hopkins Healthcare Kaiser Foundation Health Plan of Washington Kaiser Permanente Northwest Region Kaiser Permanente of Northern California LifeWise Louisiana Healthcare Connections (Centene Corporation - Medicaid) Medi-Cal Medica Medical Mutual Medicare Minnesota Health Care Programs Moda Health Plan Molina Healthcare Neighborhood Health Plan of Rhode Island Network Health New York Northeastern New York Optimum HealthCare, Inc. Oregon Health Authority (Oregon Health Plan) Oscar Palmetto Paramount Premera Blue Cross Presbyterian Prestige Prestige Health Choice Priority Health Providence Health Plans and Providence Health Assurance QualCare Regence Select Health of South Carolina Tufts Health Plan UPMC Health Plan UniCare (Anthem) Uniform Medical Plan Uniform Medical Plan (Washington State Health Care Authority) UnitedHealthcare UnitedHealthcare Oxford UnitedHealthcare West UnitedHealthcare of California Univera Healthcare University Health Alliance Visiant (Medicare Advantage Medical Policy for Premera Blue Cross) WEA Trust WPS Health Insurance | Arise Health Plan WellCare WellPoint - UniCare Wellmark Blue Cross Blue Shield How do I get approved for HRT?To start HRT, you will need 1 referral letter from a licensed mental health provider that addresses the WPATH Standards of Care guidelines. What are my next steps to start HRT? 1. Meet with your licensed mental health provider to obtain a referral letter and sign a Release of Information Form for them.
How much does HRT cost FTM?On average, hormone replacement therapy (HRT) for gender affirmation can cost anywhere from $30-$100 a month for individuals without health insurance.
Does United Healthcare cover hormones?Hormones injected by a medical provider (for example hormones injected during an office visit) are covered by the medical plan. Benefits for these injections vary depending on the plan design. Oral and self-injected hormones from a pharmacy are not covered under the medical plan.
Does Medi cal cover hormone replacement therapy?It may not include all available services. Hormone therapy is a covered benefit under Medi-Cal when medically necessary to treat gender dysphoria, and should be available regardless of whether the beneficiary has Fee-for-Service (FFS) or is enrolled in a Medi-Cal Managed Care Plan (MCP).
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Anthem blue cross blue shield hormone replacement therapy
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