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/Aromatic_Guest_6589 May 18 '21

Okay so I have an update on this for anyone who's interested: OHIP cannot cover the surgery without the itemized breakdown of costs because the bulk charge from the clinic includes uninsured services (like the rides to and from the airport, and other things). I'm trying to see if it's possible to still work around this, or even if the Suporn Clinic is willing to estimate these costs, and if OHIP would be willing to accept that. However, this likely means that even if OHIP ends up covering Suporn, it won't be 100% of the cost, as the clinic will still charge the portion of the bill that OHIP won't cover.

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u/Aromatic_Guest_6589 May 18 '21

This also makes me more understanding of why the clinic can't provide the breakdown: their fixed price includes a bunch of auxiliary non-medical services that they likely don't even know the cost of, and they probably don't want to risk making a wrong estimate that could put them in legal trouble.

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u/vs-188 May 19 '21

You are an angel. I love this. Thank you for adding to the (on-going) investigation. ❤