(Closed) NWR: Do you think gender reassignment surgery should be covered by insurance?

posted 9 years ago in LGBTQ
  • poll: Do you think gender reassignment surgery should be covered by insurance?



    Only if....

  • Post # 182
    615 posts
    Busy bee
    • Wedding: June 2013

    @ladyshade:  I didn’t know that living for a year as the desired gender and meeting with therapists for a long time was part of the pre-surgery requirements.  If that’s the case, then I’m totally okay with Gender Reassignment Surgery being covered, at least in part, by insurance.  I admit, I know little about Gender Reassignment Surgery.  Thank you for educating me.  🙂

    I think that people with BDD can also make a case for surgery, if the therapists believe that it would help and not lead to an endless stream of procedures that don’t help their mental state.  Honestly, I feel like everyone deserves to be comfortable in their own skin.  If surgery would help with that, then so be it  As long as it truly does help them.

    Post # 183
    10 posts
    • Wedding: December 2008

    @kayrie95:  I just wish I could educate more people at once about the in’s and out’s about this. I found out about this topic because I generally want to know more about news on the topic. You can set up google search alerts here: http://www.google.com/alerts

    I have Google search in the background for me for articles that have to do with gender or sex reassignment surgery. I was just going to come in and see what it was all about when I found people discussing it in detail. My initial post was posted also on Google Plus a couple of months back.

    If I can help spread the word then maybe I can help others like myself. I still have a long way to go in my transition, but I know its the right thing to do. i just need to be aware of how my actions affect those around me; my wife, family, friends, work, etc…

    And before anybody asks, my wife agreed to marry me in spite of my problem. I would never have agreed to marry if my partner wasn’t supportive and informed on the topic before I asked the question. She doesn’t identify as a lesbian and I know I am bi-sexual but regardless of whatever our beliefs we both know we love each other and we can work through anything as long as we’re together.

    Post # 184
    311 posts
    Helper bee
    • Wedding: November 1999

    @Meowkers:  +1 Exactly what I was gonna say.

    Post # 185
    630 posts
    Busy bee
    • Wedding: December 2015

    @ladyshade:  Yeah, I understand that it is a horrible thing to happen. I reslly hope that one day it is covered by health insurance, I’m just saying that I don’t think that society is quite there yet and I think that there are other things that should maybe come first. For now.

    Post # 186
    682 posts
    Busy bee

    I voted no because I’m not in that situation nor do I know anyone in that situation to make a yes answer, however – I had a breast reduction – this wasn’t a personal choice – it was health related.  Back issues, posture issues, neck and migraine issues.  My insurance company covered 90% of the surgery. I no longer have any problems and it’s been 3 years since my surgery.  I know that if my surgery was by choice and was a cosmetic choice to “make me feel better about myself” then the insurance company wouldn’t have approved it. I HAD to go through months and months of physical therapy for my back and neck for them to “fail” me out saying it wasn’t helping and that my breasts were causing the problem.  


    Post # 187
    598 posts
    Busy bee
    • Wedding: August 2013

    i voted no, i don’t think it should be covered by health insurance because it’s not a procedure you get for your physical health. yes, it may be a mental issue, but so is body dismorphic disorder.. and i don’t see people giving away free liposuction and boob jobs.

    i may be biased though. i’ve worked at six different cancer centers across the country and you wouldn’t believe the families that come in with crappy or no insurance and that have life-threatening cancers. i can’t count how many children have died because of a disease they didn’t choose to have (God bless st. judes for helping some of these families out). that’s who needs the insurance money.

    Post # 188
    1490 posts
    Bumble bee
    • Wedding: November 2012

    To all those saying lipo could  be covered under body dismorphia: the ‘treatment’ for that is therapy, possibly antidepressants.  The ‘treatment’ for gender dismorphia is surgery.  You can’t will away a penis or believe you aren’t really that gender (its who you are).  Its two separate things.

    Post # 189
    759 posts
    Busy bee
    • Wedding: October 2013

    @ladyshade:  That could be considered into body dysphormic disorder but not limited to that at all. People with eating disorders have it, people with incredible low self esteem, in general it’s where people don’t see themselves as others see them. Where they see themselves as disgusting or horrendous. And it can really effect people.

    I used to have an eating disorder, all through childhood and throughout my teens. When I got on birth control I started to gain weight like crazy and became overweight. After I had my daughter I went back to the eating disorder until it nearly killed me and finally asked for help. It has helped me in realizing that no matter how much I don’t like the way I look, it’s not worth loosing my daughter or mylife over. I no longer have an eating disorder but I do still have BDD. I’m at a healthy weight now and nit pick every detail about myself. When you have BDD and you look into the mirror you often see everything about yourself as horribly ugly and only ever notice your flaws.

    Not tryint to bring anyone down just trying to explain what it is. I had a not so healthy childhood and I’m pretty sure that’s what caused this. Some people literally kill themselves because of this. Therapy doesn’t always work either, years and years of therapy.

    It could have killed me if I didn’t have my daughter. I fainted and stopped breathing for 3 minutes because of this and developed heart problems. My doctor said my fainting was a result of my heart giving out on me. It was my fault for doing what I did but when you are in that you don’t reallize how dangerous it is and even if you do you have this mindset that “I just don’t care I just want to look like the rest of the people” It’s not about feeling pretty, it’s about feeling like you look like this disfigured ugly person that walked out of the texas chainsaw movie or something.

    Post # 190
    759 posts
    Busy bee
    • Wedding: October 2013

    @BooRadley:  It’s not always two different things.  And as far as eating disorders go, it’s a lot more dangerous and granted surgery likely wont fix it but did you know

    • Eating disorders have the highest mortality rate of any mental illness


    • A study by the National Association of Anorexia Nervosa and Associated Disorders reported that 5 – 10% of anorexics die within 10 years after contracting the disease; 18-20% of anorexics will be dead after 20 years and only 30 – 40% ever fully recover


    • The mortality rate associated with anorexia nervosa is 12 times higher than the death rate of ALL causes of death for females 15 – 24 years old.


    • 20% of people suffering from anorexia will prematurely die from complications related to their eating disorder, including suicide and heart problems

    • Only 1 in 10 people with eating disorders receive treatment
    • About 80% of the girls/women who have accessed care for their eating disorders do not get the intensity of treatment they need to stay in recovery – they are often sent home weeks earlier than the recommended stay
    • Treatment of an eating disorder in the US ranges from $500 per day to $2,000 per day. The average cost for a month of inpatient treatment is $30,000. It is estimated that individuals with eating disorders need anywhere from 3 – 6 months of inpatient care. Health insurance companies for several reasons do not typically cover the cost of treating eating disorders
    • The cost of outpatient treatment, including therapy and medical monitoring, can extend to $100,000 or more

    (copied from a website) therapy does not always help. Surgery wont help if someone is already underweight and would like it, but therapy often wont either.

    Body dysphormic disorder is not limited to eating disorders, it’s just most known for eating disorders because eating disorders are common.

    After I had my child and lost a lot of weight I had extra skin on my abdomen. I’ve cried about this too many times to count, my Fiance and I have been together and been sexual together for over 3 years and I still wont let him see my stomach. I refuse to let my stomach ever show. Everyone knows this about me, bathinsuits just don’t happen. When my Fiance does see my stomache I always cover it up. I’m disgusted by it, and back when I had the BDD really bad, before I saw doctors I often thought about (of course I wouldn’t do it but I’d imagine it) doing the surgery myself. Just to get rid of it. I felt like everyone saw it and it was the most disgusting thing in the world. People have this issue about all different parts of their body.

    When I can afford a tummy tuck to get rid of the extra skin I will do it in a heart beat. The rest of the issues I have with myself fail in comparrison and it will make me feel soooo much more comfortable in my own skin. Doctors have been working on this for 4 years and I feel no better about it as I did before I saw the doctors. Therapy does NOT always work and sometimes surgery is needed.

    The same thing goes for nose jobs or small breast or even butts that need implants. When someone with BDD really does have something wrong with them physically it can take over their life. It’s more than just not feeling pretty and it’s more than being someone with an eating disorder.

    And people with eating disorders can also be over weight, that is a form of an eating disorder and yes lippo would help with this.

    Post # 191
    1319 posts
    Bumble bee
    • Wedding: July 2011

    I’m not sure. In the UK it is covered by the Government. I guess it should be..I just find the whole thing so hard to understand..that someone can be born into the wrong gender. I find it difficult to understand/accept..

    Post # 192
    237 posts
    Helper bee

    @ladyshade:  +1 THANK YOU. If it were to become covered I don’t think we would see lines of people that were happy with there gender before the surgery was covered running out to get a sex change. I’ve never woken up and thought “hey I think I need a penis, the insurance company will cover it so why not?” 

    Post # 193
    1 posts
    • Wedding: July 2015

    @RahlyRah:  Yes, I definitely think it should be covered. Here in Sweden it’s part of the universal health care system, so people don’t have to pay more than about 200 dollars per year for hormone and corrective surgery and breast-surgery (removal or implants) are free. However, if the person then wants to get extra job done to look more masculine or feminine, that is treated as aesthetic surgery, which they have to pay for themselves.

    And just because this kind of surgery is free over here, doesn’t mean every person with  some hang-up about their looks get free surgery, and I don’t think anyone has ever requested it. People understand the distinction between something which is actually necessary (gender corrective surgery) and something which is not (aesthetic surgery). 

    So,  speaking for Sweden.. it’s a humane way of doing it, and nobody has tried to use the same reasoning to get other kinds of surgery :).

    Post # 194
    348 posts
    Helper bee
    • Wedding: January 2014

    @ladyshade:  I’m aware you didn’t state GRS was more important than other conditions. However, this is why I voted No since I’m focusing on other diseases to be covered first. It’s not necessary for health. Yes, you may have experienced depression or thought about hurting yourself. Same as someone with BDD. 

    Post # 195
    98 posts
    Worker bee

    going anon for this but i hav bdd pretty bad some days i feel good other days i feel like breaking every mirror in the house. These disorders are severe, i support the surgery and the people that have the courage to have it done, but one issue should not be considered more important than the other.


    @ladyshade:  what a humbling story and i admire your mental strength

    Post # 195
    11 posts

    Anyone who voted no i am judging

    Its not merely cosmetic its thinking every minute of your life

    its not getting murdered for using the bathroom

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