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Gender Reassignment Surgeons That Accept Medicare

Dr. Kathy Rumer

Dr. Rumer is a plastic and reconstructive surgeon who offers the full range of gender reassignment surgery in the Philadelphia tri-state area.

Dr. Scott Mosser

Dr. Mosser has been helping transgender patients for more than 10 years. Board certified by the American Board of Plastic Surgeons, Dr. Mosser is California’s FTM Top Surgery and Breast Augmentation expert.

Dr. Clifford King

Dr. King is a board certified plastic surgeon who has been performing FTM & MTF top surgeries in Madison, Wisconsin for many years. His passion for this work was recently recognized by Fair Wisconsin when they awarded Dr. King with the Community Leadership Award for his commitment to providing gender-affirming surgery.

Dr. Kamol Pansritum

Dr. Kamol is globally recognized as one of the most experienced Gender Reassignment Surgeons in the world, offering the full spectrum of GRS procedures for both trans men and women.

Dr. Rex Moulton-Barrett

Dr. Moulton-Barrett is an award-winning cosmetic, plastic and reconstructive surgeon in the Bay Area who performs transgender surgery, with a special focus on FTM Top Surgery and MTF Breast Augmentation. He is double board certified and has been performing transgender surgery since 2010.

Dr. Javad Sajan

Dr. Sajan is a Seattle plastic surgeon who specializes in cosmetic, reconstructive, and transgender surgery, including FTM Top Surgery, FFS and MTF surgery procedures.

Dr. Manish Champaneria

Board certified by the American Board of Plastic Surgery, Dr. Manish Champaneria has extensive training and experience in plastic surgery and microsurgery, with a special focus on breast/chest and facial procedures. He’s also one of only a few surgeons who accepts Washington Medicaid/AppleHealth for transgender procedures.

Dr. Eric Bensimon

Dr. Eric Bensimon has dedicated his career to helping trans women seeking FFS. With over 15 years experience, Dr. Eric Bensimon is one of the world’s most experienced surgeons practicing Facial Feminization Surgery.

View all Featured SRS Surgeons »

In order to get scheduled for surgery, please send us a surgery application and $1000 deposit. Do not send insurance information or letters of recommendation at this time.  

We accept most major commercial insurance plans, and are in network with most companies.  If you do not have insurance, we ask you to pay in full for the surgeon, OR and anesthesia costs prior to your date of surgery. If you would like to know the cost of a specific type of visit or surgery, you may call us at any time at 650-570-2270.

For Office Visits, Please bring your insurance ID card to your office visit. If there is a co-payment for your office visit, you will be expected to pay this at the time of your visit.  Most annual exams are covered without co-pay so please let us know if this is the specific reason for your visit with us.  We accept all major credit / debit cards, cash or personal checks.

For Surgical Fees, our pre-authorization process can help you to know exactly how much your co-payment might be expected to cost. See below for details.

Medicare

Despite trying to work with Medicare for many years, they have not worked with us.  They have repeatedly denied our claims as not covered, not medically necessary, etc.  This has led us to terminate our contracts with Medicare.  We believe that patients and activists need to take up the fight and force Medicare to stand up to their word and cover these surgeries, contracting specifically with surgeons.

What this means is that we do not accept Medicare, or any secondary Medicare Advantage Plans.  If you have any type of Medicare plan, primary or secondary, you will have to pay out of pocket.  We will not bill Medicare after surgery.  

Medicaid

We are not currently contracted with any state Medicaid plans.  The only California Medicaid managed plan that we accept is San Francisco Health Plan (SFHP).  If you have SFHP, contact your primary care doctor to get started with referrals and authorizations.  Contact our office for additional information.

Commercial Insurance

More and more insurance companies are covering GRS.  After many years, the process is becoming easier. We will work to pre-authorize your surgery.  This means that if your insurance company covers GRS, you will only have to pay your coinsurance up front. We will do the leg work, and help you through this often daunting process.  We are in network with most major insurance companies, and those that we are not in network with will often work with us, including Aetna, as there are so few surgeons who perform this procedure. We are experts regarding getting GRS covered by insurance… let us help!

Pre-Authorization

Before we start a pre-authorization for you, please check the Specific Exclusions section of your insurance plan and see if Transgender Surgery, Genital Reassignment Surgery, etc., is listed as an exclusion. If it is excluded, you’ll need to approach your employer and ask them to add the coverage to your insurance plan. We can provide letters of medical necessity which can be of help in nudging an employer to add transgender surgery to their current health plan.

If you don’t see that Transgender Surgery is specifically excluded or if you are unsure, we are happy to do an insurance authorization.  We will start your pre-authorization about 6 monthsprior to your desired surgery date and/or as we see you’re nearing the top of the cancellation list.  

Keep in mind that we tend to have quite a long waiting list for surgery (currently 18 months for outpatient and FTM procedures, and approaching 4 years for the MTF GRS). We do keep a cancellation list for patients who wish to get in sooner.

You can help us be successful in seeking pre-authorization by following the guidelines below:

  • Send in your Surgery Application and $1000 deposit in order to secure a surgery date and get onto our cancellation list.  (The deposit is generally non refundable.  However, if we are unable to pre-authorize your insurance after exhausting all options, and you are unable to pay out of pocket or secure new insurance, we will refund.)  The $1000 will go toward your deductible.  If your insurance pays at 100% you will be reimbursed.  You should not send in the deposit if you have SFHP.
  • 6 months prior to your surgery, or when you are contacted by Robin as you near the top of the cancellation list, we will ask you to complete and return some insurance forms, send enlarged and legible copies of the front and back of your insurance id card and recent letters of recommendation.  Your insurance company will most likely require two letters of recommendation, one from a doctorate level therapist and the second from any licensed therapist.  Letters should be recent, within six months of your surgery date, in order to meet insurance requirements.  You will receive word from us when we hear from your insurance company, and they should send you a decision in writing as well.

If you have any questions, please do not hesitate to contact our office at (650) 570-2270!