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Just starting my journey on surgery and first speed bump looking for advice on where to look....


Andrea Jean

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I'm starting my journey on surgery a Vulvoplasty and I'm in the state of Nebraska the only place near is Kansas City medical center in Kansas my problem is I think Medicare only pays for 80 percent of the surgery costs I think so thought the rest could be paid for by my Medicaid but wrong on that kansas won't take Nebraska's Medicaid so now don't know what to do was quoted a price from another transgender that had one done that her cost was almost 70,000 dollars and 20 percent of that is alot of money to come up with for me being I'm on disability and only get enough to live on .... So any ideas on funding this maybe any help out there for me to look into? Need help don't know if I can live without this procedure ...

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  • Admin

First, check out our main page for scholarship programs

https://www.transgenderpulse.com/surgery-funding-assistance/

 

Next would be to contact Your local LGBTQ Center and speak to their Trans Advisory Staff who may know of local scholarships or treatment grants.  They can also help you assess EXACTLY what benefits you do have under Medicare, it may be better than you think it is.  There are also gray areas where "medically necessary" procedures described properly by your medical care team are covered to a higher degree that is well known.

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Thanks both of you will be checking each possibility out to see hope one works

 

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I have HumanaChoice insurance with a maximum out of pocket of $5,500.00.

Do you have this also? 

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Well found out that My medicare advantage isn't an advantage in the area of getting surgery done in another state they say its out of network so wouldn't cover it so come the 15th of the month here have to redo my insurance back to original medicare to cover going to kansas for the surgery but still have the 20 percent problem with it cause of medicaid won't pay out of state ....

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18 hours ago, Andrea Jean said:

Well found out that My medicare advantage isn't an advantage in the area of getting surgery done in another state they say its out of network so wouldn't cover it so come the 15th of the month here have to redo my insurance back to original medicare to cover going to kansas for the surgery but still have the 20 percent problem with it cause of medicaid won't pay out of state ....

Do you have a maximum out of pocket cost with that?

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Well now found out that the unmc in omaha is starting to schedule surgeries now so might just go there they are in netwrok and medicaid would work also....whew.....hope there right just put in a consultation on it..

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6 hours ago, Andrea Jean said:

Well now found out that the unmc in omaha is starting to schedule surgeries now so might just go there they are in netwrok and medicaid would work also....whew.....hope there right just put in a consultation on it..

I hope so also. Good luck. 🙂

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