News Headlines Article

Medicare will consider covering sex change operations
Modern Healthcare

The CMS is considering whether Medicare should pay for sex change operations.

The agency is also considering paying for treatment to treat gender dysphoria, which describes individuals who experience significant discontent with their biological sex or birth gender, according to a notice released Thursday night.

In addition to gender reassignment, therapeutic options for gender dysphoria include behavioral and psychotherapies and hormonal treatments.

The CMS didn’t cover gender dysphoria or gender reassignment surgery until 2014, when HHS‘ Appeals Board struck down a previous national coverage decision forbidding payment for sex reassignment surgeries and gender dysphoria. That opened the door for Medicare’s regional contractors to pay for treatment.