{"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 &#038; Coverage"},"content":{"rendered":"\n<p><a data-type=\"URL\" data-id=\"https:\/\/www.insurance.wa.gov\/sites\/default\/files\/documents\/gender-identity-discrimination-letter.pdf\" href=\"https:\/\/www.insurance.wa.gov\/sites\/default\/files\/documents\/gender-identity-discrimination-letter.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Washington state law<\/a> prevents insurance discrimination based on gender identity and in 2021 Washington State passed <a href=\"https:\/\/app.leg.wa.gov\/billsummary?BillNumber=5313&amp;Year=2021&amp;Initiative=false\" target=\"_blank\" rel=\"noreferrer noopener\">Senate Bill 5313<\/a>, prohibiting health insurers from denying or limiting coverage for <a data-type=\"URL\" data-id=\"https:\/\/crosscut.com\/equity\/2021\/05\/insurers-wa-must-cover-transgender-health-care-under-new-bill\" href=\"https:\/\/crosscut.com\/equity\/2021\/05\/insurers-wa-must-cover-transgender-health-care-under-new-bill\" target=\"_blank\" rel=\"noreferrer noopener\">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<em> accepted standards of care<\/em>.<\/p>\n\n\n\n<p>Still, there are often a number of documentation and health-related steps necessary in order to meet the <a data-type=\"URL\" data-id=\"https:\/\/wpath.org\/publications\/soc\" href=\"https:\/\/wpath.org\/publications\/soc\" target=\"_blank\" rel=\"noreferrer noopener\">World Professional Association of Transgender Health (WPATH)<\/a> <em>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<p><\/p>\n\n\n\n<p>Below are links to <a href=\"https:\/\/www.uwmedicine.org\/patient-resources\/billing-and-insurance\" target=\"_blank\" rel=\"noopener\" title=\"\">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 <a data-type=\"URL\" data-id=\"https:\/\/out2enroll.org\/2021-cocs\/\" href=\"https:\/\/out2enroll.org\/2021-cocs\/\" target=\"_blank\" rel=\"noreferrer noopener\">Out2Enroll<\/a> or speak with your insurance plan directly to inquire about your gender affirming surgical benefits.<\/p>\n\n\n\n<p>Unfamiliar with or confused by types of insurance plans, insurance terminology, and what it all means in general? Check out <a rel=\"noreferrer noopener\" href=\"https:\/\/ingersollgendercenter.org\/wp-content\/uploads\/2019\/11\/InsuranceExplainer.pdf\" data-type=\"URL\" data-id=\"https:\/\/ingersollgendercenter.org\/wp-content\/uploads\/2019\/11\/InsuranceExplainer.pdf\" target=\"_blank\">Ingersoll&#8217;s insurance explainer guide<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>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 [&hellip;]<\/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,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-51","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/depts.washington.edu\/tgnbhealthprogram\/wp-json\/wp\/v2\/pages\/51","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/depts.washington.edu\/tgnbhealthprogram\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/depts.washington.edu\/tgnbhealthprogram\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/tgnbhealthprogram\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/tgnbhealthprogram\/wp-json\/wp\/v2\/comments?post=51"}],"version-history":[{"count":88,"href":"https:\/\/depts.washington.edu\/tgnbhealthprogram\/wp-json\/wp\/v2\/pages\/51\/revisions"}],"predecessor-version":[{"id":1653,"href":"https:\/\/depts.washington.edu\/tgnbhealthprogram\/wp-json\/wp\/v2\/pages\/51\/revisions\/1653"}],"wp:attachment":[{"href":"https:\/\/depts.washington.edu\/tgnbhealthprogram\/wp-json\/wp\/v2\/media?parent=51"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}