User:Swo235/Gender dysphoria

Insurance Obstacles for Gender Dysphoria  When individuals are diagnosed with Gender Dysphoria, there are several obstacles that the individual may have to over come to get there medication covered by their Prescription plan. One being that the person must obtain an ICD 10 code from a medical professional stating that the patient has been diagnosed with Gender Dysphoria. The second obstacle is trying the insurance plans preferred medications before the insurance will allow for a non preferred medication to be covered.

Example of Insurance plan requirements:


 * Formulary exceptions on medication
 * Appeals - a review requested on behalf of the patient by the medical provider that is prescribing the medication and the justification of why this particular medication is required over other medications.
 * External Appeal - which allows the insurance to determine if the prescribed medication is going to be a requirement for the plan to cover the treatment