Researchers at University of Maryland Release New Data on Aesthetic Surgery (Gender Surgery Beyond Chest and Genitals: Current Insurance Landscape)

2020 SEP 03 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- New research on Surgery - Aesthetic Surgery is the subject of a report. According to news reporting originating in Baltimore, Maryland, by NewsRx journalists, research stated, “Plastic surgery plays an essential role in the treatment of gender dysphoria. International standards of care currently consider genital and chest surgeries to be medically necessary.”

The news reporters obtained a quote from the research from the University of Maryland, “Ancillary procedures such as facial surgery, chondrolaryngoplasty, hair restoration/removal, and body contouring are considered cosmetic surgeries except in individual circumstances. The authors sought to assess the frequency of coverage provision for ancillary transition-related surgeries through a cross-sectional analysis of US insurance policies. The authors selected insurance companies based on state enrollment data and market share. Policies were identified through web-based search and telephone interviews. A list of eligible procedures was compiled and grouped into 5 categories: body masculinization, body feminization, facial procedures, hair restoration/removal, and chondrolaryngoplasty. Medical necessity criteria from publicly accessible policies were then abstracted. Sixty-one insurance companies held an established policy. One-third of these policies offered favorable coverage for at least 1 ancillary procedure. Chondrolaryngoplasty was the most covered category (26%, n = 16), whereas body masculinization was the least covered (8%, n = 5). Almost two-thirds of the companies with favorable policies listed coverage criteria. We identified 4 recurring requirements: age, hormone therapy, continuous living in a congruent gender role, and referral from a mental health professional. There is a low prevalence of US insurance coverage for ancillary gender surgeries and wide variability in coverage criteria.”

According to the news reporters, the research concluded: “Reevaluation of ancillary transition-related procedures from cosmetic to medically necessary based on clinical judgement or establishment of defined coverage criteria may augment coverage and better address the needs of transgender patients.”

For more information on this research see: Gender Surgery Beyond Chest and Genitals: Current Insurance Landscape. Aesthetic Surgery Journal, 2020;40(4):NP202-NP210. Aesthetic Surgery Journal can be contacted at: Oxford Univ Press Inc, Journals Dept, 2001 Evans Rd, Cary, NC 27513, USA. (Sage Publications - http://www.sagepub.com/; Aesthetic Surgery Journal - aes.sagepub.com)

Our news correspondents report that additional information may be obtained by contacting Yvonne M. Rasko, University of Maryland, School of Medicine, Dept. of Surgery, Division of Plastic Surgery, Baltimore, MD 21201, United States. Additional authors for this research include Ledibabari M. Ngaage, Erin M. Rada, Katie L. McGlone, Brooks J. Knighton, Caroline A. Benzel, Shan Xue, Devin Coon and Jens Berli.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1093/asj/sjz262. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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