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June 2021

Medical coverage expanding under some Ford salaried plans for members who are transgender

Ford will soon begin covering additional medical services under salaried plans for members who are transgender with a clinical diagnosis of gender dysphoria.  

The following additional gender-affirming services for members will be covered starting June 1, 2021:

  • Face and neck laser hair removal
  • Facial feminization surgery
    • Blepharoplasty
    • Genioplasty
    • Mandibular augmentation
    • Forehead reduction/contouring
    • Rhinoplasty
  • Chondrolaryngoplasty (Adam’s apple reduction)

Currently, all Ford plans cover genital surgery, mastectomy in female-to-male transition, hormone therapy and counseling when medically necessary to treat gender dysphoria. Gender dysphoria involves a conflict between a person's gender identity and their gender assigned at birth, causing significant distress.

Coverage for the new services will require that members meet medical necessity criteria and use network providers. Coverage has up to a $30,000 lifetime limit. Plan cost share will apply.

The group numbers are 87241, 87252, 87254, 87262, 87264 and 87292. The number will be on the front of the member ID card. As always, be sure to check web-DENIS for benefits and eligibility.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2020 American Medical Association. All rights reserved.