At present, UW’s Student Health Insurance Plan (SHIP) offers a “Transgender Benefit” to SHIP plan enrollees. The Student Health Insurance Committee implemented this benefit after advocacy efforts by the UW Q Center and transgender students.
ACCESSING SHIP’S TRANSGENDER BENEFIT CAN BE QUITE COMPLICATED. PLEASE CONTACT THE Q CENTER WITH ANY QUESTIONS!
SHIP’s “Transgender Benefit” affords students critical access to medically necessary, gender-confirming health care. This access to care is a crucial element to the health, academic success and retention of transgender-identified students.
Access general information about the Student Health Insurance Plan here.
The following language is the language found in the Student Health Insurance Plan for the 2012-2013 academic year:
Transgender Medical Treatment
The plan covers charges for transgender medical treatment including but not limited to medically necessary office visits, laboratory tests, and gender reassignment surgeries. The plan covers these charges the same as covered medical expenses for any other sickness, up to a maximum $35,000 per plan year.
Amount of coinsurance that you pay for non-network services will apply towards the network coinsurance maximum.
Transgender Surgical Services Criteria
Surgical gender reassignment services will be considered medically necessary if the criteria listed under Surgical Procedures, Breast Surgery or Genital Surgery are met.
For all surgical procedures approved in the most current Standards of Care published by the World Professional Association for Transgender Health (WPATH), transgender benefits are available if you are at least 18 years old and diagnosed as having gender identify disorder (ICD code 302.5).
For breast surgery (mastectomy, breast reduction, chest reconstruction or augmentation mammaplasty) you must be at least 18 years old and diagnosed as having gender identify disorder (ICD code 302.5). You must
also have one letter of recommendation for surgery from a mental health professional.
For genital surgery (orchiectomy, penectomy, vaginoplasty, clitoroplasty, labiaplasty, hysterectomy, salpingooophorectomy, vaginectomy, metoidioplasty, scrotoplasty, urethroplasty, testicular prosthesis placement, and phalloplasty) all the following criteria must be met:
• You are at least 18 years old and diagnosed as having gender identify disorder (ICD code 302.5)
• You have successfully lived and worked within the desired gender role full time for at least 12 months
• You have received recommendations for surgery from two separate mental health professionals, at least one of which includes an extensive report. One Master’s degree level professional is acceptable if the second letter is from a psychiatrist or PhD clinical psychologist.
• The surgery is recognized as medically necessary within the most current Standards of Care published by the World Professional Association for Transgender Health WPATH).