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#1406 - 08/11/05 09:02 PM Re: does insurance ever pay for electrolysis? *****
mileena Offline
Member

Registered: 08/11/05
Posts: 43
Loc: Philadelphia, Pennsylvania sub...
James, thanks for the great letter!

Do you know will this letter work for male-to-female transsexuals who are having the beard removed?

Afterall, we also suffer from a hormonal imbalance (born with female minds/brains, but with a male body which is defective). this is a physical disorder, not a mental one. In any case though, we suffer from a medical condition known as Gender Identity Disorder.

Transsexuals who still have facial hair have a harder time functioning in society, so it is medically necessary, just as it is for genetic females who are hirsute.

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#1407 - 08/12/05 03:49 AM Re: does insurance ever pay for electrolysis?
James W. Walker VII, CPE Moderator Offline

Top 10 Contributor

Registered: 06/03/02
Posts: 4878
Loc: Buffalo NY, & Traveling the US...
As I said to the last person who asked me this question, you will still need a co-operative doctor, and the iron will to push past all the insurance company BS and sue them in small claims court if need be. For a transsexual, Good electrology, leaving smooth perfect skin is not only a matter of cosmetic appearance, but personal safety as well.

It just won't be any easier to get from your insurance company than it would be for a genetic female. Either you have an insurance company who will do it without a fuss, or you have one that will put up a fight, and you just have to beat them down. You can't beat them down without a sympathetic doctor willing to write you letters and help you with your court case, should you need to file one.

The letter here is just an outline, all your doctor needs to do is plug in your condition and his explaination of why hair removal is needed in your case, and you go forward with everything else you see here.

Good Luck

PS, fill out that registration form so people can be of more help to you!
_________________________
Setting a goal is not the main thing. It is deciding how you will go about achieving it and staying with that plan. --- Tom Landry

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#1408 - 08/12/05 03:24 PM Re: does insurance ever pay for electrolysis?
mileena Offline
Member

Registered: 08/11/05
Posts: 43
Loc: Philadelphia, Pennsylvania sub...
Hi James, thanks for everything, including your expertise!

<< As I said to the last person who asked me this question, you will still need a co-operative doctor, and the iron will to push past all the insurance company BS and sue them in small claims court if need be. >>

My insurance company is Medicare, so I would have to sue the United States in federal court! Yikes!


Edited by mileena (08/12/05 03:25 PM)

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#1409 - 08/12/05 03:27 PM Re: does insurance ever pay for electrolysis?
mileena Offline
Member

Registered: 08/11/05
Posts: 43
Loc: Philadelphia, Pennsylvania sub...
And the US governemnt will not get beaten down in court, since their lawyers are all salaried and do not care about the cost, like a normal insurance company lawyer would!! No "it makes more sense just to pay the claim, since this is costing us too much".

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#1410 - 08/13/05 01:56 AM Re: does insurance ever pay for electrolysis?
James W. Walker VII, CPE Moderator Offline

Top 10 Contributor

Registered: 06/03/02
Posts: 4878
Loc: Buffalo NY, & Traveling the US...
You mean the US government does things like break the rules, and later say, "Ok, you proved us wrong, so what"?
_________________________
Setting a goal is not the main thing. It is deciding how you will go about achieving it and staying with that plan. --- Tom Landry

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#1411 - 08/13/05 05:16 PM Re: does insurance ever pay for electrolysis?
mileena Offline
Member

Registered: 08/11/05
Posts: 43
Loc: Philadelphia, Pennsylvania sub...
Very funny!

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#1412 - 08/27/05 12:14 PM Re: does insurance ever pay for electrolysis?
Hir-Fem Offline
Member

Registered: 04/26/03
Posts: 23
Loc: Pennsylvania
I received an appeal notice letter dated 8-22-05. Insurance had 30 days to file and it appears that they stalled to the last possible day. The instructions stated that I had to go downtown in person to file a complaint. The hearing is scheduled for December - that's a long time for me to wait; I think I should charge interest when I win.

Now it's their move - they have 20 days to file in person or by attorney that they intend to defend themselves. In addition, there's a $25 fee. I didn't have to pay anything this time.

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#1413 - 08/27/05 09:18 PM Re: does insurance ever pay for electrolysis?
James W. Walker VII, CPE Moderator Offline

Top 10 Contributor

Registered: 06/03/02
Posts: 4878
Loc: Buffalo NY, & Traveling the US...
We could be starting a revolution here. Insurance companies everywhere could find themselves sued all across the country. We better get all we can, they might slip something in the next patriot act outlawing these payments like the chemical companies did to make sure you can't sue them for mercury poisoning.
_________________________
Setting a goal is not the main thing. It is deciding how you will go about achieving it and staying with that plan. --- Tom Landry

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#1414 - 10/08/05 08:59 AM Re: does insurance ever pay for electrolysis?
James W. Walker VII, CPE Moderator Offline

Top 10 Contributor

Registered: 06/03/02
Posts: 4878
Loc: Buffalo NY, & Traveling the US...
In light of today's news story, I figured I should bump this post string up to today's active topics so the point is clear. Insurance companies DO pay for electrolysis.
_________________________
Setting a goal is not the main thing. It is deciding how you will go about achieving it and staying with that plan. --- Tom Landry

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#1415 - 10/10/05 07:04 AM Re: does insurance ever pay for electrolysis?
tex Offline
Major Contributor

Registered: 05/24/05
Posts: 181
Loc: North Texas (DFW), USA


Edited by tex (10/10/05 07:07 AM)
_________________________
Enjoy bein' a smoothie! Completed 2 years of LHR and started electrolysis in 2007 for face, neck, underarms, and male Brazilian on Type I/II skin.

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