Increasingly, insurance companies are recognizing the medical necessity of permanent hair removal as part of gender-affirming care.
We encourage clients to call their insurance companies to learn if their plans might reimburse their cost of electrolysis.
Can you bill my insurance?
Goddess Electrolysis is contracted with BCBS-MN.
This includes commercial and Medicaid members.
Goddess Electrolysis can submit claims directly to BCBS-MN.
Please note, if you have not reached your deductible, you will be responsible for the cost of service. This amount will count toward your annual deductible. If you have reached your deductible, but not reached your Out of Pocket Maximum, you will likely have a co-insurance cost that you will pay at the time of service.
If you have Blue Plus (Medical Assistance through Blue Cross), or have reached your annual Out of Pocket Maximum, your full cost of electrolysis will be covered by your insurance company.
I have _____________ insurance. How do I get reimbursed?
Ultimately, this is your responsibility to figure out.
Here are some things we've learned, that might support you in navigating insurance reimbursement...
These are two common letters that doctors (or nurses!) send off to insurance companies on behalf of their clients.
We have found that, even when a client's policy clearly states that gender-affirming hair removal is covered, claims submitted by the client may get denied if they are processed without a prior authorization on file. Should a claim be denied once a prior authorization is already approved, the appeal process is generally much simpler and more efficient.
It is advised that you begin the process of getting a medical professional to submit a letter as soon as possible. They are usually valid for one year. It is possible that yours will expire before we get you on our schedule. However, if we contact you to begin electrolysis and you have not gone through the approval process, we will not be able to hold the spot
open for you as you begin the process.
I don't have BCBS-MN. I have different insurance. Can you bill my insurance?
No! Unfortunately, at this time Goddess Electrolysis is *only* contracted with Blue Cross of Minnesota.
Ideally you'll have an easy time getting information and learning how to submit claims.
Look for the member services number on your insurance card. When you call, explain that you are planning to begin *medically necessary hair removal as part of gender transition*. Tell them you are medically diagnosed with "Gender Identity Order, unspecified" (F64.9 in the ICD-10) and you need hair removal as part of [preparation for sex reassignment surgery] / [treatment of gender dysphoria caused by facial hair as part of transitioning to female]. *
You may be told hair removal isn't covered by your plan. For many insurance companies, covering electrolysis is a very new thing, and employees often don't understand the
policies around it.
If you're willing to hassle with your insurance company you may find that they will in fact cover your hair removal costs.
The two best ways (that we know of) to do this are to demonstrate Medical Necessity or to have a medical professional (your endo or primary) submit a Prior Authorization...
*super annoying language! we know! so sorry!
Information to Include on Prior Auth.
Your medical provider will likely need the following info to complete a Prior Authorization on your behalf...
CPT 17380 (Hair Removal / Electrolysis)
DX F64.9 (Gender Identity Disorder, unspecified)
Goddess Electrolysis LLC
2627 27th Ave Ste 202
Mpls MN 55406
Tax ID 86-3834822
Generally, a Prior Auth is good for a year, so
we recommend asking them to write the P.A. for 60 hours of electrolysis.
If you are planning to submit an invoice for reimbursement to your insurance company, you will be responsible for the full cost at time of service. An invoice will be sent to you electronically within 48 hours of your appointment.