Thursday, December 26, 2013

CT Insurance Commissioner Requires Coverage For Us.

Connecticut joins California, Colorado, Oregon, Vermont and the District of Columbia to require health insurance coverage gender dysphoria. That means that gender confirming surgery, hormones and other expenses related to transition and health care will be covered.
State Requiring Heath Insurers To Cover Gender Transition
Hartford Courant
By DANIELA ALTIMARI
December 26, 2013

HARTFORD – The Connecticut Insurance Department is directing all health insurance companies operating in the state to provide coverage of mental health counseling, hormone therapy, surgery and other treatments related to a patient's gender transition.

Joining a handful of other states, the department issued a bulletin to insurance companies last week which seeks to ensure that "individuals with gender dysphoria … are not denied access to medically necessary care because of the individual's gender identity or gender expression."

Deputy insurance Commissioner Anne Melissa Dowling said the state wanted to "go out and affirmatively make [the policy] very clear."

"As we were turning the corner into the new year, we just wanted to make sure every constituency was clearly heard,'' she said.
If you are insured by a Connecticut company you now get all your medical expenses covered, including hormones and Gender Conforming Surgery. However, if you employer is an ERISA (Employee Retirement Insurance and Security Act) then you may not be covered because they are under federal law, not state law. From what we understand if you have Medicaid we believe that you also would be covered, but not if you are covered by Medicare because Medicaid is a state plan while Medicare is a federal plan.