Medicare? Medicaid?

Medicare

Despite years of efforts with Medicare, we have been unable to contact any Medicare personnel who can guarantee approval and reimbursement.  In our test cases, there have been continual denials of our claims, and eventually we withdrew from Medicare. However, our hospital and anesthesia group are contracted with and accepting Medicare for transgender surgery, and have successfully submitted claims. This means that while you will need to pay the self-pay rate to our office prior to surgery, the hospital and anesthesia group will not require payment up front, and will bill Medicare. You will still need to provide two strong letters of recommendation which will be submitted to Medicare by the hospital following your surgery. Please contact our office with questions. 

Medicaid/Medi-Cal

We are sympathetic to those with Medicaid. We believe in access for all. However, due to the lengthy and often arduous process necessary for pre-authorization,  we are not contracted with MediCal (California state Medicaid), or any MediCal managed plans, other than San Francisco Health Plan. We are not contracted with any out of state Medicaid or Medicaid managed plans.