Transgender-Related Insurance Denials as Barriers to Transgender Healthcare: Differences in Experience by Insurance Type.

Journal of General Internal Medicine
Matthew Bakko, Shanna K Kattari

Abstract

Insurance-based denials are common barriers for transgender and non-binary individuals in accessing medically necessary gender-affirming care. Little is known about how experiences of transgender-related insurance denials may vary by insurance type. This study investigates the association between transgender and non-binary individuals' experiences of different forms of transgender-related insurance denials and insurance type. The 2015 United States Transgender Survey was conducted by the National Center for Transgender Equality to ascertain US transgender and non-binary experiences across multiple life experiences, including individual health status, health services access and utilization, and experiences with denials. Multivariate logistic regressions were conducted, and adjusted risk ratios were calculated, to analyze the likelihood of experiencing eight different forms of denials by insurance type, including private, Medicare, Medicaid, and military-related, and having multiple types of insurance coverage. Models revealed significant relationships between transgender-related insurance denials and insurance type for 11,320 transgender and non-binary adults. Compared with those with private insurance, Medicaid coverage was ass...Continue Reading

References

May 16, 1998·BMJ : British Medical Journal·T V Perneger
Jan 18, 2014·American Journal of Public Health·Daphna Stroumsa
Sep 10, 2014·Pediatrics·Annelou L C de VriesPeggy T Cohen-Kettenis
Nov 26, 2015·Social Science & Medicine·Jaclyn M White HughtoJohn E Pachankis
Dec 23, 2016·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Jaimie F VealeElizabeth M Saewyc
Feb 28, 2017·Journal of Health Care for the Poor and Underserved·Justin E Lerner, Gabriel Robles
Mar 21, 2017·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Allegra R GordonS Bryn Austin
Apr 13, 2017·The New England Journal of Medicine·Kellan E Baker
Apr 28, 2017·Journal of Social Work in Disability & Rehabilitation·Shanna K KattariStephanie Rachel Speer
Sep 2, 2017·Transgender Health·Kimberly ProctorCara V James
Dec 12, 2017·The Milbank Quarterly·Gilbert Gonzales, Carrie Henning-Smith
Feb 20, 2018·The Hastings Center Report·Kristen Underhill
Jul 5, 2018·JAMA : the Journal of the American Medical Association·Edward C NortonMatthew L Maciejewski
Jul 23, 2018·American Journal of Preventive Medicine·Janelle M Downing, Julia M Przedworski

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Citations

Sep 15, 2020·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Alex J FauerKristen R Choi
Apr 21, 2021·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Anu Manchikanti GomezG Allen Ratliff
Jul 14, 2021·Journal of General Internal Medicine·David Michael Warner, Arunab Harish Mehta
Aug 15, 2021·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Landon D HughesArline T Geronimus
Aug 21, 2021·Transgender Health·Anna KirklandAngela K Perone

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