haigha in ftm

Medically Necessary?

Jun 07, 2010 14:38

Okay, so I found out that my insurance at Kaiser will cover my top surgery completely so long as it's considered medically necessary. I don't know much about corporate policies, so I guess I have to ask, what makes needing top surgery considered medically necessary? As far as I know, the only thing is if I had breast cancer, but there must be other reasons, right?

The reason I'm asking is because I recently went out to a gay club with some friends (for the first time having ever been out at any club at that) and I felt surprisingly inadequate there. I've never felt less like a man before, and it's been weeks since this happened. I have a D sized chest, and I bind with an underworks compression shirt, and maybe it's just me but binding or not they're still CLEARLY there. I went from just cosmetically wanting the surgery someday in the future (whenever I could afford it) to wanting it now and feeling incredible depressed and uncomfortable in my own skin. It's honestly effecting my mental stability and thus raising my stress and leading to a loss of appetite and all sorts of other stress induced what have you..

So, since I've never known anything about my insurance, I don't even know who to talk to to or where to go. I managed to find my way to the benefits office to find out it was covered, but now what do I do? Do I have to talk to my doctor? A therapist? A psychiatrist? What? Like I said, aside from actually HAVING breast cancer, I don't know what other ways there are to point out that it's not just something I 'want' done, it's something I NEED. Suggestions?

Added edit: I've never realized that my back, and neck pain, and headaches and stuff could be caused from my chest size until you guys started saying something.. Yeah, apparently I'm THAT naive, it kinda comes when you're essentially neglected in your upbringing, you don't know what's right or wrong, or if something's normal or uncommon. The pieces are starting to come together and I'm not so blind to the puzzle anymore.

surgery-funding, insurance, surgery-top surgery, funding transition

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