Effective immediately, all California fully insured medical plans (grandfathered and non-grandfathered plans) will now provide transgender benefits for fully insured individuals. In accordance with California state regulatory requirements, coverage will be provided according to terms and conditions of the plan that apply to other covered medical conditions, including medical necessity requirements, utilization management, and exclusions for cosmetic services. This coverage will include medically necessary services related to gender transition such as transgender surgery, hormone therapy, psychotherapy visits, and vocal training.
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