Policy Issued By: AmeriHealth
Policy Title: Treatment of Gender Dysphoria
Voice Therapy And Surgery:
The following procedures/therapies may be performed in combination with other surgeries for the treatment of gender dysphoria and are considered cosmetic or potentially cosmetic services, unless medical necessity demonstrating a functional impairment can be identified. Services that are cosmetic, following medical necessity review, are a benefit contract exclusion for all products of the Company and, therefore, not eligible for reimbursement consideration. This list is subject to change; refer to Company policy that addresses cosmetic services. ...
- Voice therapy
- Voice modification surgery (i.e., laryngoplasty, cricothyroid approximation)