misgenderisms:

1. Get a surgeon that knows the workaround for top surgery and is respected and well known by insurance

My first surgeon was new to mastectomies and didn’t know exactly what to do, he botched 2 weeks of time bc he faxed it to the wrong number and then botched the peer to peer review. 

Yes, you need a surgeon that works specifically with trans people a lot. this is because it’ll give you a chance for a better surgery AND the insurance will get back to you faster because they know the surgeon.

2. Get a letter of dysphoria (preferably more than one)

this is advice for people OUTSIDE of blue cross blue shield, 6 months ago they demolished the need for it and tbh good for us.

In the letter, you need to talk to your therapist about EXACTLY what you need, to the letter. get a short term therapist if you need to (one appointment, some therapists are there for literally only the letter of dysphoria), 

if they don’t get you what you need down to the letter, correct them and make them rewrite it.

appeals take 30 days, DON’T DO IT. get a new surgeon if you have to bc then the claim will take less time.

3. Bother your insurance daily.

COVID and 4th of July makes everyone lazy, so I personally call my insurance daily and ask what the status of my claim is. this is IMPORTANT because they will slack off if you don’t and tell you days after they confirm or deny it.

4. *kisses you* good luck!