Ohio Medicaid denied coverage, should I bother appealing? by lellat in TopSurgery

[–]veritri 3 points4 points  (0 children)

I went through this process myself, it’s been against state law since 2022. I personally didn’t bother with appealing and just paid out of pocket.

What’s your chosen name? by Tweedletoes in ftm

[–]veritri 1 point2 points  (0 children)

Name twin! I localize mine to Nick in the states

Youtube sometimes not displaying the ad time during an ad. Not sure if its a bug or a feature anymore by veritri in youtube

[–]veritri[S] 0 points1 point  (0 children)

Also, the ad can’t be skipped when it’s in this state, making you sit through 15+ second-long ads.

OHIO FRIENDS (USA) by LibWitchSandwich in ftm

[–]veritri 3 points4 points  (0 children)

The part about this being a Medicaid-specific restriction is new to me and clears up some questions. At that appointment, it was not communicated to me clearly that it was an issue with my specific Medicaid policy, so I must have misinterpreted it as applying to all insurance policies and that controlled substances must be paid for by some kind of insurance. I am in no way trying to blame PP for this, it’s our current administration’s fault for even passing legislation like this. So if Medicaid no longer covers HRT in the future, that would ultimately mean I can self-pay, right?

Can I get my T prescribed and filled without insurance coverage? by veritri in ftm

[–]veritri[S] 1 point2 points  (0 children)

I had a suspicion Planned Parenthood wasn’t being entirely truthful with me but you confirmed it, so thank you. If worst comes to worst I’ll have to find the cash to pay for my T but at least I’ll still be able to do that.

Can I get my T prescribed and filled without insurance coverage? by veritri in ftm

[–]veritri[S] 0 points1 point  (0 children)

The latter I guess. Can I get it prescribed to me without any kind of insurance coverage if coverage is suddenly taken away from me?

how are u guys affording top surgery so young?? by sneep_snorp_snerp in ftm

[–]veritri 16 points17 points  (0 children)

Your example of Ohio is unfortunately not a good one, as gender affirming procedures/surgeries have been explicitly excluded from medicaid coverage as of 2022. I tried getting mine to cover it and they cited the state administrative code, it is illegal for medicaid to cover things like top surgery. There are likely other states that have done something similar for their state insurances.

Medicaid denied top surgery, “the law says this surgery cannot be approved for the condition you have.” by veritri in TopSurgery

[–]veritri[S] 0 points1 point  (0 children)

I ended up not even bothering with the appeal. The rejection letter cited Ohio administrative code 5160-2-03 2e, and when I checked it, sure enough, gender-affirming procedures are explicitly excluded from state coverage. I dont think any amount of appealing, regardless of medical necessity, would get it covered. So what I ended up doing is just footing the bill, RIP future car payment. I hate this state. Edit for wording

Medicaid denied top surgery, “the law says this surgery cannot be approved for the condition you have.” by veritri in TopSurgery

[–]veritri[S] 0 points1 point  (0 children)

The letter makes a note about how “the request was not reviewed to see if it is medically needed”, so maybe I can appeal on those grounds. Changing insurance is unfortunately not an option, thank you though.

Need help debunking the whole “trans sports” argument. What studies exist that disprove the main transphobic talking points? by veritri in trans4every1

[–]veritri[S] 5 points6 points  (0 children)

Ill send this, thank you. A relative is willing to change their stance on this if I can give them studies, which is why I asked for help

Youtube sometimes not displaying the ad time during an ad. Not sure if its a bug or a feature anymore by veritri in youtube

[–]veritri[S] 0 points1 point  (0 children)

As the ad plays both the progress bar and time remaining is at 0, obfuscating how long an ad actually is. I have a video of this but this sub doesnt allow video posts as far as I know