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Insurance

INSURANCE COMPANIES WE ARE IN-NETWORK WITH (CALIFORNIA):

United Health Care (also in-network in Texas)

Cigna (also in-network in Texas)

Blue Cross

Blue Shield of California

Healthy San Francisco

Western Health Advantage

Sutter Select

San Francisco Health Plan (bottom surgery only)

OUT-OF-NETWORK INSURANCE COMPANIES WE HAVE SUCCESSFULLY WORKED WITH (CALIFORNIA):

Aetna

Health Net

Ameriben

Harvard Pilgrim

Medica

Brown & Toland

Health Partners

Pacific Source

Group Health

Sharp Health Plan

Tufts (non-Medicaid)

LA Care*

Community Health Center Network*

Alameda Alliance*

California Health & Wellness*

La Salle*

Central California Alliance for Health*

Health Plan of San Joaquin*

OUT-OF-NETWORK INSURANCE COMPANIES WE HAVE SUCCESSFULLY WORKED WITH (TEXAS):

Aetna

Group Health

Tufts (non-Medicaid)

Medica

-If you are using your insurance, you can expect to pay less than or up to your in-network out of pocket maximum amount.

-If your insurance policy is not listed in any of the above lists, we may still be able to look into obtaining coverage. 

-If we are out-of-network with your insurance company, please note that the surgeon’s fee will become due up front if we are unable to obtain an in-network exception and/or letter of agreement for your surgery.

– Please be advised that Facial Feminization Surgery is rarely covered by insurance companies. We have only had success with some managed Medi-Cal plans and Anthem Blue Cross through Google. Also, we have not had success obtaining insurance coverage for bottom surgery for minors.

INSURANCE COMPANIES WE CANNOT WORK WITH (CALIFORNIA & TEXAS):

Medicare

Out of State Medicaid

Straight Medi-Cal

Tri-Care

Partnership Health Plan

MODA Health

Molina

INSURANCE INFORMATION WE NEED:

-A picture or copy of the front and back of your insurance card.

-Updates on any change to your insurance

-If you have more than one insurance policy, let us know which one is legally designated as primary (contact your insurance companies to determine this if you do not know).

-If you have an HMO plan, we need an updated referral from your assigned Primary Care Physician within 90 days of your surgery date.