Is Top Surgery Covered By Insurance? Our Answer

Is Top Surgery Covered By Insurance? Top surgery, also known as gender affirmation surgery, is a surgical procedure that changes the appearance of the chest. Top surgery is not typically covered by insurance, but there may be exceptions depending on the policy. Some transgender people may be able to get coverage for top surgery through their health insurance plan if they can demonstrate that the surgery is medically necessary.

How long does it take insurance to approve top surgery? The length of time it takes insurance to approve top surgery can vary depending on the insurance company and the specifics of the surgery. Some insurance companies may require prior authorization, while others may not. In general, the process of getting insurance to approve top surgery can take anywhere from a few weeks to a few months.

How much is top surgery cost? The cost of top surgery can vary depending on the type of surgery and the surgeon’s fees. Generally, top surgery costs between $2,000 and $8,000.

How much is top surgery in America? The cost of top surgery in America varies depending on the type of surgery and the location. However, the average cost is around $7,000.


Frequently Asked Questions

How Do You Prove Medical Necessity For Top Surgery?

There is no one definitive answer to this question. Typically, medical necessity for top surgery is determined on a case-by-case basis, taking into account the individual’s medical history and current health condition. Some factors that may be considered include the severity of the individual’s gender dysphoria, the extent of the physical and/or psychological distress caused by gender dysphoria, and whether treatment with hormones or surgery is considered medically necessary to alleviate that distress.

How Do You Get Top Surgery In The Us?

There are a few different ways to get top surgery in the US. Some people may have insurance that will cover part or all of the surgery, while others may need to pay for the surgery out-of-pocket. There are also a few different types of top surgery, so people should speak with their doctor to figure out what is the best option for them.

How Long Does Top Surgery Take To Heal?

It can take months for top surgery to heal properly. There may be some swelling and bruising for the first week or two, and the patient may need to take some time off work. Healing times vary from person to person, so it is important to follow the doctor’s instructions carefully.

How Long Does It Take To Be Approved For Top Surgery?

It takes a few months to be approved for top surgery, depending on your insurance.

How Do You Get Top Surgery In America?

There is no one way to get top surgery in America, as it depends on your insurance coverage and the surgeon you choose. Some people may have to wait a long time to get surgery, while others may be able to get it done relatively quickly.

How Much Does Top Surgery Cost In Us?

There is no definitive answer to this question as the cost of top surgery can vary depending on a number of factors, such as the surgeon’s experience and location. However, a study published in 2016 found that the average cost of male chest reconstruction surgery in the United States was $3,692.

How Much Does Top Surgery Cost In New York?

The cost of top surgery in New York can range from $4,000 to $12,000, depending on the type of surgery and the surgeon’s fees.

How Do I Pay For Ftm Top Surgery?

There are a few ways to pay for FTM top surgery. Some people may have health insurance that will cover the procedure, some people may be able to afford to pay for the surgery out-of-pocket, and some people may be able to find a surgeon who offers payment plans.

What Does Top Surgery Include?

Top surgery generally includes mastectomy (the surgical removal of one or both breasts) and chest reconstruction.

How Much Does It Cost For Top Surgery?

The cost of surgery varies depending on the type of surgery, the surgeon’s fees, and whether you have any associated medical procedures done at the same time. Generally, top surgery costs between $3,000 and $10,000.

Can Top Surgery Be Denied?

Some people argue that top surgery, or surgery to remove the breasts, can be denied to transgender people. Others argue that it is a medically necessary procedure and should be covered by insurance. There is no clear answer, as the legality of denying top surgery has not been tested in court.


There is no one definitive answer to this question as it depends on the specific insurance plan in question. However, in general, top surgery is often considered a medically necessary procedure and is therefore often covered by insurance plans.

Is Top Surgery Covered By Insurance? Our Answer

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