DSM V - GID no more

[Guest sophia.gentry58]

Hey everyone, I'm sure someone probably has commented on this subjected matter by now, I'm just unable to locate it. Therefore, could someone tell me what will be the result of the DSM V, which will be promulgated May, 2013 that will essentialy extract the GID diagnosis and replace it with Gender Dysphoria. Will this allow the insurance companies to deny coverage because GD may not be considered a disorder? What say you?

Sophia

[Guest Billie De]

Actually had this exact same discussion with my GT on Monday.. Never really came to any conclusions except that I will be talking with my Lawyer as the time for srs gets closer. But they just change a few laws Tuesday in CO regarding gender discrimination by insurance companies, so I think it will be a mute point for Coloradans.

[VickySGV]

Claims on that topic really fly from both directions. Medical insurance that can cover SRS can be negotiated from almost any major health insurance company now and in the future even with the DSM V saying what it does. The problem is that it does cost some more for the policy provider to have this coverage in their package, and at the minute Medicare does not cover it. The insurance companies are not looking for ways to avoid paying for SRS since there is a growing pool of evidence that it is more cost beneficial to provide SRS than to cover multiple hospitalizations for self harm and other mental health issues, but the companies are looking for a new source of income from major industrial employers who provide medical insurance for their employees.

The change in the DSM V is unknown as to its real effects on insurance, but advertising on the subject will be frightening.

[Guest sophia.gentry58]

I spoke to my GT last night and she told me that Insurance companies cannot deny coverage as long as Gender Dysphoria is within the DSM.

Sophia

[Guest Melissa~]

It's my intent to process an insurance claim for SRS, the reality will be what happens then. I -can- tell you my employer used to have a line item exclusion for TS related treatments. That disappeared without explanation a few years ago, I was monitoring the policy then, but not ready to move forward with transition then.

Currently I have had no claims denied for therapy or scripts. They are processed the usual way, no special notes. I do have the diagnosis of 302.85 on recent therapy sessions besides changing my name.

It is my impression the respectable Missouri insurance commission did something about carte blanche exclusions of a class of people, thus the disappearing exclusion a few years ago. The significant claim of SRS is still small beans in the scheme of claims... My dad racked up $500,000 in claims in his last three days.

[Guest KimberlyF]

I spoke to my GT last night and she told me that Insurance companies cannot deny coverage as long as Gender Dysphoria is within the DSM.

Sophia

Im lost on this one. Does she think people currently diagnosed with GID are not being denied because it too is in the DSM or does she think GD will be covered now cause its not a disorder?