What insurance companies cover top surgery

How much does top surgery cost with insurance?

Top surgery cost varies greatly depending on insurance coverage, where you live, and the surgeon you use. The average range for cost of FTM and FTN top surgery is currently between $3,000 and $10,000.

How do you get top surgery covered?

In clear language, this step-by-step guide will help you understand how to:

  1. Determine if your insurance plan covers Top Surgery.
  2. Meet the criteria for medical necessity.
  3. Find a surgeon who is in-network with your health insurance.
  4. Get a surgery consultation.
  5. Submit a request for pre-authorization.

How much does top surgery cost out of pocket?

In general, the cost of FTM Top Surgery ranges from $3500 – $9000 USD. This may or may not include consultation fees. A down payment is usually required to secure a surgery date. The amount of this down payment varies by surgeon but usually ranges between $500 – $2000, and up to 50% of the total Top Surgery cost.

Is Top surgery considered cosmetic?

Health insurance might not cover surgical procedures considered cosmetic for the general population, even though these procedures might be essential to alleviating your gender dysphoria. You might also consider talking to other transgender men who’ve had top surgery before taking this step.

Can breasts grow back after top surgery?

Patients who have undergone top surgery often wonder if their breasts will “grow back” if they gain weight. Because this procedure removes the actual breast tissue (rather than just fat tissue), patients would have to gain a substantial amount of weight for the chest to recover a feminine appearance.

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Do you have to be on T to get top surgery?

Do I need to be on testosterone before I can get Top Surgery? No, WPATH Standards of Care do not require hormone therapy to be eligible for Top Surgery.

How long do you have to wear a binder after top surgery?

4 weeks

Is Top surgery painful?

You may feel some pain for the first couple of days—especially when you move around or cough—and some discomfort for a week or more. Your surgeon will prescribe medication to lessen the pain.

How do you sleep after top surgery?

Plan to sleep on your back with several pillows to elevate the head of your bed. This is to lessen the amount of swelling you experience, which may worsen in the first few days after surgery before getting better. Plan to sleep on your back for the first 6 weeks after surgery while your chest heals.

Do you lose feeling in your nipples after top surgery?

All Top Surgery procedures all have one common characteristic: the removal of breast tissue underneath the nipple. This can affect blood flow to the nerves, resulting in some loss of sensation. The amount and type of sensation that can be lost is partly dependent on the type of Top Surgery procedure performed.

Can you wear a binder on a plane?

All travelers may ask any TSA official for private screening if their bags need to be opened. You have the right to wear what you wish. Certain types of clothing, shoes, binding materials, prostheses or jewelry may cause you to receive additional screening. Remove outerwear before you get to the security checkpoint.

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What happens when you start taking testosterone FTM?

Your body will begin to redistribute your weight. Fat will diminish somewhat around your hips and thighs. Your arms and legs will develop more muscle definition, with more prominent veins and a slightly rougher appearance, as the fat just beneath the skin becomes a bit thinner.

What are the risks of top surgery?

The possible risks of transmasculine top surgery include, but are not limited to, bleeding, infection, poor healing of incisions, hematoma, loss of nipple sensation, loss of the nipple and areola, and anesthesia risks.

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