For Bay Area trans women, facial feminization surgery helps complete Facial Feminization Surgery | Michigan Medicine - U of M Health Paying for Transgender Surgeries - Investopedia Frequently Asked Questions | Facial Feminization Surgery | Dr Keojampa Facial Feminization Surgery - A Complete Guide to FFS - DESCHAMPS-BRALY She has a special interest in Facial Feminization and is also highly proficient in Vaginoplasty and Top Surgery. We hope our in-person consultation will answer all of your questions, provide your sense of confidence and also further your excitement of the path you are on. Ask them how many FFS surgeries they perform within a year. Dr. Ramineni is a board-certified plastic and reconstructive surgeon with over 15 years of experience. Highly Distinguished Facial Surgeon In Chicago Dr. Amir Dorafshar, MD is a plastic and reconstructive surgeon with fellowship training in craniofacial surgery who specializes in gender-affirming facial surgery. FFS can include hairline lowering, jaw reduction, rhinoplasty (nose reshaping), eyelid surgery, face or neck lift, and other facial changes. With a forehead reduction, our aim is to reduce a prominent brow or forehead bossing. Dr. Lee is a fellowship-trained and board-certified plastic surgeon with deep expertise in aesthetic and reconstructive procedures for the chest/breast and face. First, one of the most significant barriers to FFS for patients is the ability to pay for surgery, which ranges from $40,000 upwards for full-face, one-stage surgery. Allure Esthetic & Insurance Coverage For FFS Allure Esthetic is Washington State's top destination for facial feminization surgery. Dr. Crane is one of only a few surgeons in the world who is trained as both a plastic surgeon and urologist and has also completed fellowships in reconstructive urology and gender reassignment surgery. In practice for more than 20 years, Dr. Salgado performs all aspects of transgender surgeries, from Facial Feminization and Top Surgery, to complex genital procedures such as Vaginoplasty and Phalloplasty. One of the major issues among surgeons and patients with regard to insurance coverage for FFS is the lack of understanding of the process as coverage for gender healthcare is highly variable depending on state law and plan variabilities (Table 3). Dr. Mundinger is a board-certified plastic surgeon with extensive training and expertise in craniofacial surgery, microsurgery and gender-affirming surgery. Administering cosmetic fillers may take an hour or less, while complex facial surgery may take several hours. FFS is a cost-effective intervention that needs to be covered by insurance policies. The structure of this system sucks, but it's the one in which you find yourself and it is your responsibility to make it work for you. He is also skilled at multiple techniques of Top Surgery, Breast Augmentation and Body Sculpting. Dr. Nghiem is an Ivy League-educated, fellowship-trained plastic surgeon in Washington, D.C. who specializes in transgender surgery, including Chest Masculinization and Breast Augmentation. Upon denial, an IMR is requested directly from the insurance plan. Despite these reports, coverage continues to be variable from state to state, physician to physician, as well as depending on anatomical region. For both Groups B and C, the authorization process averaged approximately 6 months, a 6-fold increase compared with Group A. Brow Lift. Facial Feminization Surgery under Insurance: The University - LWW . For more information, please refer to our Privacy Policy. How soon can I book a surgery date? Notes. Facial Feminization Surgery (FFS) in Mexico - MyMediTravel This is the point at which you will likely need legal support. Furthermore, even in the challenging scenario for insurance authorization reported by Braun and colleagues, Groups B and C also exceed reported estimates. The total costs of your Facial Feminization Surgery will be determined by the staff of the University of Miami. Dr. Alan Dulin is a board-certified surgeon with many years of experience performing Male-to-Female Surgery in the Dallas area. He subsequently completed a Gender Surgery Fellowship with Dr. Toby Meltzer and Dr. Ellie Zara Ley. Subsequently, the process typically follows one of three paths: Group A (standard approval), Group B (extended approval), and Group C (denial). Ask to speak to people's supervisors. Other costs to consider are: Our practice does NOT contract with any insurance providers to allay the cost of your facial feminization surgery. Integral to this whole process is the FGCS surgeon. Dr. Ellie Zara Ley, MD is an accomplished board-certified plastic surgeon who had more than 15 years of specialized training in plastic, craniofacial and micro surgery before learning the art of Gender Confirmation Surgery. Male-to-female (MTF) facial feminization. Included in Appendix D are the new letter referral suggestions for gender-affirming surgery (GAS). Dr. Facque is a board-certified plastic surgeon in San Francisco, California who started providing gender-affirming care in 2012 and has worked exclusively with transgender and non-binary patients since 2020. Los Angeles, CA: University of California, Los Angeles School of Law; 2019. Months required for definitive insurance authorization decisions for FFS. As an example, the typical timeline for our Group B and C patients is as follows: 1. Letters - Crane Center for Transgender Surgery Average months spent from initial facial feminization consultation to final insurance authorization decision. While facial feminization surgery has many potential benefits, the decision to proceed . 2). You should be able to download this document through a web portal, but if not, you are legally entitled to a paper copy. Descriptive statistics were performed for demographic variables. Tate, who has been with Starbucks for 15 years and now manages a store in Austin, Texas, is one of a growing number of Starbucks partners who have used the company's leading-edge benefits for transgender partners. The multi-level appeal process included physician-initiated appeal, patient-initiated appeal, and independent medical review (IMR). There is also a great deal of discussion on various internet forums and also on social media in terms of how to reduce the cost of your facial feminization surgery by claiming the procedure on your health insurance. 14. 3). Only patients with insurance authorization decisions were included in this study (n = 40). Facial feminization surgery is more often referred to as "gender reaffirmation surgery", and is performed on . In the standard approval process (Group A), patients were under both public and certain private insurance plans (39% of all privately insured patients in the cohort). Once you've identified a surgeon who takes your insurance, ask them to submit a preauthorization. Facial Feminization Surgery: FFS Surgery in Thailand Referral letters and supporting documentation should be sent to: UCSF Gender Affirming Health Program 1725 Montgomery St. Suite 250 San Francisco, CA 94111 Phone: 415-885-7770 Fax: 415-353-3399 transcare@ucsf.edu In addition to performing hundreds of gender-affirming procedures each year, Dr. Rumer also directs a 1-year gender surgery fellowship program. The surgeons listed below are highly qualified plastic, reconstructive, craniofacial, maxillofacial and cosmetic surgeons who offer gender-affirming facial surgery. Dr. Harris is a highly skilled, board-certified Surgeon in the Dallas area who has been developing an international reputation for transgender surgery. Societal implications of health insurance coverage for medically necessary services in the U.S. Transgender population: a cost-effectiveness analysis. Plans that fall into this group include Medi-Cal, Medicare, and some private insurance plans. Dr. Satterwhite is a board-certified Plastic and Craniofacial Surgeon in San Francisco who is dedicated to offering the highest level of surgical care to the transgender community. Thus, coverage significantly increases accessibility. Dr. Freet leads a multidisciplinary team at the University of Texas that performs both male-to-female and female-to-male surgery procedures, including facial and chest surgeries as well as Vaginoplasty, Metoidioplasty and Phalloplasty. P < 0.05 was considered significant. Other medical procedures like dermatology, orthopedics, gynecology, and ophthalmology. These surgeries can reduce the size and shape of the forehead, alter and refine the nose, make the lips fuller and . Support groups? Submission and review of IMR (1 month). Please refer to theCare Credit websitefor further details. Facial Reconstruction: Gender affirming facial surgery is considered reconstructive when all of the following criteria have been met: The individual is at least 18 years of age; and Dr. Andrew Kleinberger. TransHealthCare.org uses cookies and other tracking technologies to improve your browsing experience on our website, to analyze our website traffic, and to understand where our visitors are coming from. (See table 1, Supplemental Digital Content 1, which displays requested CPT codes and associated terminology for facial feminization surgery. I am working from the perspective that you are unable to pay in full and be reimbursed. Patients were stratified into 3 groups by authorization process. Please enable scripts and reload this page. Compared with Group A, the amount of time spent acquiring the authorization was 8-fold higher (P < 0.001), with a 22-fold higher cost (P < 0.001) for the Group B authorization process (Fig. For patients anticipating insurance coverage for your surgery, we appreciate that you may wish to seek insurance reimbursement for the cost of some or all of your feminization procedures and have outlined some general guidelines below. Dr. Meltzer is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early 90s. The United States . However, this has been a persuasive strategy in some cases. Demographic, clinical, and administrative data were retrospectively collected (UCLA IRB #19-001482). First, one of the most significant barriers to FFS for patients is the ability to pay for surgery, which ranges from $40,000 upwards for full-face, one-stage surgery. Facial feminization surgery encompasses a broad range of procedures to change the shape of the face to look feminine. The report of the 2015 U.S. transgender survey. Every state is different so start with Google and reach out to these services in your state, theyre here for you!