{"id":51,"date":"2021-08-09T17:04:11","date_gmt":"2021-08-10T00:04:11","guid":{"rendered":"https:\/\/depts.washington.edu\/tgnbhealthprogram\/?page_id=51"},"modified":"2025-09-02T10:24:01","modified_gmt":"2025-09-02T17:24:01","slug":"insurance-requirements-coverage","status":"publish","type":"page","link":"https:\/\/depts.washington.edu\/tgnbhealthprogram\/insurance-requirements-coverage\/","title":{"rendered":"Insurance Requirements & Coverage"},"content":{"rendered":"\n

Washington state law<\/a> prevents insurance discrimination based on gender identity and in 2021 Washington State passed Senate Bill 5313<\/a>, prohibiting health insurers from denying or limiting coverage for gender-affirming treatment<\/a> when that care is prescribed to an individual on the basis of a protected gender expression or identity, is medically necessary, and is prescribed in accordance with accepted standards of care<\/em>.<\/p>\n\n\n\n

Still, there are often a number of documentation and health-related steps necessary in order to meet the World Professional Association of Transgender Health (WPATH)<\/a> standards of care<\/em> and requirements for coverage through insurance. All gender-affirming surgeries must meet the above standards of care and have this documented by both a primary care provider and mental health provider(s), regardless of insurance coverage and payment. All gender-affirming health providers are required to follow WPATH standards of care that include provider letters, without exception.<\/p>\n\n\n\n

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Below are links to accepted insurance plans at UW Medicine<\/a>, coverage requirements, gender-affirming care policies by insurance, and financial assistance requirements. If coming from a state outside of Washington or you have an insurance plan that is not Washington based (i.e. Blue Cross of California), consult Out2Enroll<\/a> or speak with your insurance plan directly to inquire about your gender affirming surgical benefits.<\/p>\n\n\n\n

Unfamiliar with or confused by types of insurance plans, insurance terminology, and what it all means in general? Check out Ingersoll’s insurance explainer guide<\/a><\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Washington state law prevents insurance discrimination based on gender identity and in 2021 Washington State passed Senate Bill 5313, prohibiting health insurers from denying or limiting coverage for gender-affirming treatment when that care is prescribed to an individual on the basis of a protected gender expression or identity, is medically necessary, and is prescribed in […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"fullwidth.php","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"footnotes":""},"class_list":["post-51","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t