How to get top surgery covered by insurance

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 without insurance?

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.

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.

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.

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.

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

4 weeks

Can you take testosterone at 13?

Cross-sex hormones — like estrogen and testosterone — used to be given only to adults. But treatment guidelines, established in 2009, now include children – though they do not recommend starting before age 16.

What should I wear after top surgery?

Yes, after surgery you will wear a compression vest. This vest is placed on your body in the operating room after surgery. This is very important to wear the vest at all times to prevent post-operative bleeding and fluid collections.

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.

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.

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Can minors get top surgery?

The criteria can vary slightly between plans and may include: a minimum age of 18, a diagnosis of Gender Dysphoria, and 12 months of hormone therapy. All insurance companies will require confirmation of the medical necessity of your surgery.

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