Skip to main content

Keyboard Shortcuts

Key Pair Function
Alt S Search Box
Alt T Top of Page
Alt H Home Page
Alt Index Button
Alt Next Button
Alt Prev Button
A4TE Logo

A4TE's Trans Health Project

Working for Transgender Equal Rights
Menu
  • Trans Health Insurance Tutorial
    • Choosing a Plan
    • Understanding Your Plan
    • Applying for Coverage
    • Understanding a Denial
    • Appealing a Denial
  • About Us
    • About A4TE's Trans Health Project
    • Privacy Policy
  • Contact Us
    • Contact A4TE
    • Contact A4TE's Trans Health Project
  • Resources
    • Legal Analysis
    • Medical Necessity Literature Reviews
    • Reporting Medical Provider Discrimination
    • Training Materials for Advocates
    • Provider Medical Necessity Letter Checklists
    • Health Insurance Medical Policies
    • Medical Organization Statements
    • State Health Insurance Laws and Guidance
    • Medicaid Regulations and Guidance
    • Gender Centers
    • Finding Trans Health Care Providers
    • State Employee Health Plans
    • Financial Aid for Transgender Surgeries
    • Gender Affirming Surgery Appeal Template
  • Tutorial del Seguro de Salud Trans
    • Cómo elegir un plan
    • Cómo entender su plan
    • Cómo solicitar cobertura
    • Cómo entender una denegación
    • Cómo apelar una denegación
Previous Page
Prev
Home
Home
Up
Up
Next Page
Next
  •  Home
  • Resources
  • State Employee Health Plans
  • Current: Wisconsin State Employee Health Plans

Prev Index States With No Exclusions [28 of 29] Next

State Employee Health Plans

Wisconsin


Download PDF

Plan Website: Wisconsin State Employees' Health Plan

Administrator: Wisconsin Public Employees Health Insurance Program

This plan is self-funded.

This plan has no exclusion.

Coverage:

Gender Reassignment

Based on a permanent injunction issued on October 11, 2018 and the summary judgment decision issued on September 18, 2018 by the federal district court for the Western District of Wisconsin, all procedures, services, and supplies related to surgery and sex hormones associated with gender reassignment should be reviewed by the health plans for medical necessity. “Medically necessary” is defined in the Section I., Definitions of the Uniform Benefits section of the State of Wisconsin Group Health Insurance Program Agreement. (p. 35 - 36)

Litigation:

In Boyden v. State of Wisconsin the ACLU successfully challenged the exclusion of transgender-related care under the Wisconsin state employee health plan.

Boyden v. State of Wisconsin, No. 17-CV-264-WMC (D. Wisc. Jun. 7, 2019), ECF No. 261 (awarding $780,500 in damages to two plaintiffs, including for reimbursement of facial reassignment surgery).

Back to top

Updated on Mar 6, 2023

Donate Now
Facebook Button Instagram Button
 Keyboard Shortcuts
 Privacy Policy
 A4TE Website

Copyright © 2024 Advocates For Trans Equality, Inc.  |  Tel: (202) 642-4542