We identified 3 subsets of authorization processes, which partially correlated to the types of insurance plans of the respective patients. The Plastic Surgery Clinic of Chicago personalizes each and every treatment we perform by completing a full facial evaluation and discussing all possible options with you. Based on my conversations with friends who are very satisfied with their FGCS, I assure you that no surgery can completely resolve that anxiety. To filter results, enter information and 'click search icon' and/or select from the dropdown lists. Dr. Leys multiple plastic surgery sub-specialty fellowships and gentle manner allow her to provide superb surgical care for transgender and non-binary patients. The FFS Surgeons listed below are highly qualified plastic, cosmetic and maxillofacial Surgeons who regularly perform FFS. Coordinating presurgical authorization required an average of 7.8 1.5 hours per patient for the administrator and 4.3 0.5 hours per patient for the attending craniofacial surgeon to navigate multi-level appeals. Research that Matters. Additionally, the patients who exited their employer-based plans to buy health insurance on the exchange paid more for health insurance by foregoing employer contributions. Best Rated Facial Feminization Surgeon (FFS) in the World Medi-Cal, the California state equivalent of Medicaid, authorizes all gender-affirming surgeries including FFS and Medicare does not require prior authorization. In the rare instance that FFS Surgery is included in your health insurance policy, services may be incomplete or function only on a reimbursement basis. There are a few limitations in this study that deserve mention. Lastly, the time consumption, costs, and difficulties to the patient were not assessed. By browsing TransHealthCare.org, you consent to our use of cookies and other tracking technologies. https://links.lww.com/PRSGO/B648.) Referral letters and supporting documentation should be sent to: UCSF Gender Affirming Health Program 1725 Montgomery St. Suite 250 San Francisco, CA 94111 Phone: 415-885-7770 Fax: 415-353-3399 transcare@ucsf.edu Raffaini M, Magri AS, Agostini T. Full facial feminization surgery: patient satisfaction assessment based on 180 procedures involving 33 consecutive patients. Denver Health to Offer Facial Feminization Gender Confirmation Surgery Before getting into the nitty gritty details, let me be real with you, and let me be hopeful. Facial Feminization Surgery (FFS) | Gender Affirming Health Program Read more about our Clinics Finance and Insurance Policy here. Patients were stratified into 3 groups by authorization process. Dr. Schnitt is a board certified cosmetic, plastic, reconstructive and craniofacial surgeon who has been practicing in South Florida since 2002. 6. 4. You may be trying to access this site from a secured browser on the server. Jess Ting - Plastic and Reconstructive Surgery - Mount Sinai Health System The time and costs necessary to achieve approval from insurance plans for FFS are not trivial. Plast Reconstr Surg. may email you for journal alerts and information, but is committed Dr. Facque is a board-certified plastic surgeon in San Francisco, California who started providing gender-affirming care in 2012 and has worked exclusively with transgender and non-binary patients since 2020. You should be able to have easy access to this document through your insurance provider. This is the point at which you will likely need legal support. They accept most major insurances and work to help you get your surgery fully covered whenever possible. In this work, we report the methods, time consumption, costs, challenges, and successes of our institutional experience on obtaining insurance coverage for FFS. She has a special interest in Facial Feminization and is also highly proficient in Vaginoplasty and Top Surgery. Based in Washington, D.C., Dr. Ramineni performs upwards of 600 surgeries a year and has a specialization in Gender Affirmation Surgery. In total, the time consumption of the insurance process was 12.0 1.6 hours and cost $988.38 101.76 per patient. Insurance Coverage for FFS Surgery abroad Medical inequality for trans people means that access to quality trans healthcare is absent or limited in many regions. Ask them how many FFS surgeries they perform within a year. Facial Feminization Surgery: Everything You Need to Know - Verywell Health In contrast, FFS under insurance coverage allows for inpatient care, which may be important, particularly to surgeon decision-making as well as patients who may have other medical conditions, pain control issues, or those who travel from long distances. Dr. Youssef is a top Cosmetic Surgeon in the greater Los Angeles area and Director of the Transgender Surgery Institute of Southern California. Dr. Alan Dulin is a board-certified surgeon with many years of experience performing Male-to-Female Surgery in the Dallas area. An estimated 90% of all patient consults were approved for FFS under insurance. PDF Facial Feminization Surgery (FFS) Preparation Guide - Thrive Dr. Freet leads a multidisciplinary team at the University of Texas that performs both male-to-female and female-to-male surgery procedures, including facial and chest surgeries as well as Vaginoplasty, Metoidioplasty and Phalloplasty. Frequently Asked Questions | Facial Feminization Surgery | Dr Keojampa Dr. Mangubat is a board-certified cosmetic surgeon in the Seattle area who has been performing transgender surgery procedures for over twenty years. Hoang H, Bertrand AA, Hu AC, et al. Facial Feminization Surgery - Costs - What does FFS cost? - 2pass Clinic According to the Philadelphia Center for Transgender Surgery,. Administering cosmetic fillers may take an hour or less, while complex facial surgery may take several hours. Dr. Dulin offers transgender women the following surgical services: Breast Augmentation: Get the curves you desire. The doctor said very encouraging. generic exclusions referenced under "general surgery guidelines" and "cosmetic procedures." South Dakota (0) State Medicaid has no . Privacy Policy (Updated December 15, 2022). I am working from the perspective that you are unable to pay in full and be reimbursed. They submit their own information, information about the procedure being performed, and information about you. Arch Intern Med. (See table 2, Supplemental Digital Content 2, which displays the total time and cost of the insurance approval process per group. The United States . Health Insurance Utilizing coverage under a health insurance plan is often the most affordable way to pay for FFS. Letters - Crane Center for Transgender Surgery Only patients with insurance authorization decisions were included in this study (n = 40). Some of the procedures included in facial feminization surgery are: The lady on the phone told me the surgery usually ranges from $60-100,000 dollars. FFS is ideal for trans women and non-transgender women who want a more feminine facial appearance. Post-surgery garments; Medical tests and x-rays; When choosing a board-certified plastic surgeon for facial feminization surgery, remember that the surgeon's experience and your comfort with him or her are just as important as the final cost of the surgery. Transgender women may choose FFS as part of their male-to-female transition process. First, one of the most significant barriers to FFS for patients is the ability to pay for surgery, which ranges from $40,000 upwards for full-face, one-stage surgery. First, one of the most significant barriers to FFS for patients is the ability to pay for surgery, which ranges from $40,000 upwards for full-face, one-stage surgery. 1. This is called facial feminization surgery. Although your FFS may not be covered by your insurance company its definitely worth doing the research. Initially, you would need to be seen in the office for an examination/consultation to determine the scope of yoursurgeryto determine the exact cost of your facial feminization. Facial Feminisation Surgery | Nuffield Health We recommend you take at least two weeks off from work to recover, but expect up to six to eight weeks of decreased activity. The Case For Facial Feminization Surgery - BuzzFeed News 7. Facial feminization aims to find balance and harmony of the face between shadow and light, masculine and feminine, natural aging and youthfulness. In total, attempting and succeeding at obtaining insurance coverage for FFS is a significant time and cost burden that may be difficult to overcome for a number of plastic surgical practices, suggesting ramifications for patient accessibility. 10. Surgical techniques and analysis of results. We performed a cost analysis of the pre-surgical insurance process for patients seeking FFS. Call 913-588-6200 to request a consultation. Our surgeons specialize in a variety of facial feminization procedures, such as forehead reduction, jaw contouring, and chin surgery. In September 2022, WPATH released the Standards of Care (SOC) version 8, for trans and gender-diverse medical and mental healthcare. He currently performs approximately 200 genital reconstruction surgery cases per year in Scottsdale, Arizona and Portland, Oregon. Quality of life of individuals with and without facial feminization surgery or gender reassignment surgery. Resources in other locations are variable, but I'm attempting a general starter guide to FGCS through insurance. 1). I recommend the pioneer of FGCS, Dr. Douglas Ousterhouts book, Facial Feminization Surgery: A Guide for the Transgendered Woman for those looking to learn more about what skill and training is involved and a breakdown of procedures as he performed them, but Ill attempt to summarize. Facial Feminization Miami | The Maercks Institute Administrative time, including obtaining initial authorizations, appeals, IMRs, and additional phone calls, averaged to 7.2 1.0 hours spent per patient. One of the greatest joys in my trans community work is helping people navigate Facial Gender Confirming Surgery. Descriptive statistics were performed for demographic variables. (See table 1, Supplemental Digital Content 1, which displays requested CPT codes and associated terminology for facial feminization surgery. If they are a member of WPATH or other applicable professional associations, they should name that. Price on request Facial Feminization Surgery (FFS) View details & Read reviews CALL NOW. Staying in the hospital: Your procedure may be performed in a hospital or outpatient center. The structure of this system sucks, but it's the one in which you find yourself and it is your responsibility to make it work for you. However, some insurers are beginning to cover FFS from select surgeons.
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