For our Out Of Town Patients
If you live more than a few hours away from the Dallas Metroplex we can gather preliminary information from you to determine benefit coverage for your intended procedure(s).
You must first review your policy to determine if you have transgender surgical benefits as described above. After you have confirmed that you do have transgender surgery coverage contact our office to receive information about the documentation needed for our office to determine your benefits. Be prepared to submit copies of your insurance card and state issued ID, photos as requested, and additional letters or documentation that may be required by your insurance company. Once we have determined your surgical benefits we will contact you to discuss the scheduling of your consultation and surgery during one trip to the Dallas area.
Despite our efforts to coordinate with Medicare, we have been unable to communicate with any Medicare representatives who can guarantee approval and reimbursement for transgender surgery. In addition, no one offered contractual agreements with us to provide service. In our test cases with Medicare coverage, there continue to be denials of our claims. Until we receive confirmations of coverage and proof of reimbursement, the language suggests only a lifting of the ban. As a result, we cannot accept Medicare for transgender surgery at this time with such uncertainty still in effect.