This should make a few of you very happy.

[RickN]

HHS board rules transgender Medicare recipients can seek coverage for sex-change surgery.

Transgender people receiving Medicare may no longer be automatically denied coverage for sex reassignment surgeries, a U.S. Department of Health and Services review board ruled Friday in a groundbreaking decision that recognizes the procedures as a medically necessary and effective treatment for individuals who do not identify with their biological sex.

Ruling in favor of a 74-year-old Army veteran whose request to have Medicare pay for her genital reconstruction was denied two years ago, the agency's Departmental Appeals Board ruled that a three-decade-old HHS rule excluding such surgeries from the procedures covered by the national health program for the elderly and disabled was unjustified.

"Sometimes I am asked aren't I too old to have surgery. My answer is how old is too old?" the veteran, Denee Mallon, of Albuquerque, New Mexico, said in an email interview before the board issued its decision. "When people ask if I am too old, it feels like they are implying that it's a `waste of money' to operate at my age. But I could have an active life ahead of me for another 20 years. And I want to spend those years in congruence and not distress."

Jennifer Levi, a lawyer who directs the Transgender Rights Project of Gay & Lesbian Advocates and Defenders in Boston, said the ruling does not mean Medicare recipients are necessarily entitled to have sex reassignment surgery paid for by the government.

Instead, the lifting of the coverage ban means they now will be able to seek authorization by submitting documentation from a doctor and mental health professionals stating that surgery is medically indicated in their individual case, Levi said.

"They should either get coverage or, at a minimum, receive an individualized review of the medical need for the specific procedure they seek, just like anyone seeking coverage for any other medical treatment," Levi's organization said in a statement after the ruling was issued.

Transgender health advocates said that because private insurance companies and state-run Medicaid programs that provide health insurance for low-income individuals often take their cue from the federal government on which treatments to approve or exclude, the decision could eventually pave the way for sex-reassignment surgeries to be a routinely covered benefit.

No statistics exist on how many people might be affected by the decision. Gary Gates, a demographer with The Williams Institute, a think tank on LGBT issues based at the University of California, Los Angeles, has estimated that people who self-identify as transgender make up 0.3 percent of the U.S. adult population. Over 49 million Americans are enrolled in Medicare.

 

[AKguy1985]

Trolling??????

 

[RickN]

Trolling??????

No just shocked, and I know Iggy and a few others will welcome the news.

 

[Wheel Gun]

Well, I guess it's good to have that option out there if I ever need it. It's nice of the taxpayer to offer that service.

 

[RickN]

Well, I guess it's good to have that option out there if I ever need it. It's nice of the taxpayer to offer that service.

Exactly. I thought Medicare did not cover elective surgery. I know getting them to pay for a wheelchair can be a very trying experience.

 

[BadgeBunny]

Note to self: Self, make a copy of this article. You will need this wording when you get on Medicare and want everything that has gone south put back where it belongs again and the death panels don't want to pay for it. People in my family tend to live to their high 90s ... she said she might have another 20 years ... I can show a genetic tendency in my family that puts that number for me closer to 30-35 years by the time I'm eligible ...