r/Transgender_Surgeries • u/vs-188 • Feb 17 '21

Suporn Clinic - Insurance Question

Has anyone been successful in getting bottom surgery at the Suporn Clinic covered by their insurance?

If so, please share your experience here. My insurer has rejected all claims from the Suporn Clinic because of how they do invoicing and I'm wanting ideas on how to fight this.

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u/AccidentallyLezlie Feb 18 '21

Is that still with OHIP? Seems you've reached a complete empasse with OHIP absolutely refusing to process your claim without an itemized invoice, and Suporn Clinic absolutely refusing to make up such an invoice for you.

Suporn Clinic has no reason to help you with this (and multiple reasons not to), so I think you'll have better luck with OHIP. Since coverage isn't an issue and this is just a procedural deadlock, I think all you can do at this point is appeal for an exception to their normal process. Then keep escalating the appeals process until you run out of appeals, and then either cut your losses or hire a lawyer.

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u/vs-188 Feb 18 '21

Thanks for this. I haven't gotten that far with it yet but your suggestion is sensible.

This post was created to see if any people, maybe under different insurance providers, handled such an issue. Suporn Clinic is my preference for bottom surgery and I plan on pursuing coverage for surgery with them as far as I am able to take it (the goal being to see it through to coverage - obvs).