What should I bring to my first visit with the FTM surgeon?

You will schedule an initial consultation with Dr. Webb in his Scottsdale office to discuss your needs. This visit may just be about starting hormone therapy if you have just begun the transition appointment, or it may be a surgical consult if you have already been on hormone therapy and are ready to begin reassignment surgery.

At this initial appointment:

  • You should arrive about 30 minutes prior to your appointment time so you can complete your registration and paperwork before seeing me. You will fill out paperwork that will include a list of your past medical history, prior surgeries, your current health conditions, any medications you are taking and any drug allergies you have. If you are taking multiple medications, it is strongly encouraged that you bring a current list that includes the names and dosages for everything you are taking. Providing a complete medical history and medication list helps us determine if any pre-operative clearance is needed and helps us schedule your surgery faster and more efficiently.

 

  • You will also complete a HIPAA privacy notice form and a financial policy agreement. You can download the forms on our website or we can mail/email the paperwork to you if you prefer to fill it out ahead of time. We have copies of all this paperwork at the office if you prefer to fill it out when you arrive at the office.

 

  • You will also need a note from your counselor in support of your surgery, or in support of beginning hormone therapy. Your doctor can fax the letter to my office at 480-425-8701. It is best to have the letter sent to my office about a week prior to your appointment to ensure we have received it in time for your visit.

 

  • If you have seen another transgender surgeon and have a future surgery planned, you should bring a letter from that surgeon(s) so that I am aware of the surgery you have planned. This helps me determine how to proceed with surgery and/or treatment that will make it easier for your doctor and any future procedures.

 

  • Bring a copy of your current insurance card and your driver’s license. We will scan copies of both cards for billing purposes. It is very important to inform my office of any changes to your insurance and/or contact information so we can provide you with accurate information when checking your surgical benefits.

 

 

What should I consider when looking for an FTM surgeon?

Picking a surgeon to perform your lower surgery can be challenging and it is very important to do your research before selecting a surgeon. You should choose a surgeon with at least 10 years of experience performing lower surgeries. The surgeon’s surgical training is also extremely important. Many gynecologists may perform the surgery, but very few have the expertise and reputation that is earned from years of experience performing the surgeries on transgender patients.

It is optimal to find a surgeon that is sensitive and aware of the specific needs of a female to male transgender patient. It is best to also have staff at the surgeon’s office that are available for questions and to help you schedule and prepare for your surgery. You also want to select a surgeon and surgical team that can work with your transgender surgeon that may be performing other surgeries at a later date.

You should also find out some information about where the surgeon operates and has privileges. Make sure that the surgeon is affiliated with a credentialed hospital that is able to provide overnight care for your hysterectomy and vaginectomy.

Also, inquire about the post-operative care the surgeon offers and if the surgeon will be available to you after your surgery, while you are recovering. All these criteria will help ensure you get a skilled surgeon that is able to achieve a successful surgery with minimal complications during your recovery period.

Why should I come to Scottsdale and choose Dr. Webb as your surgeon?

  • Webb has more experience performing the laparoscopic hysterectomy and vaginectomy procedure than anyone else in the United States. He also has more experience doing these procedures together than anyone else in the world.
  • Webb’s procedure has a lower complication rate.
  • Webb has an excellent, experienced team that he works with to perform the hysterectomy and vaginectomy. They have many years of experience working together and they use the most advanced equipment. No other doctors outside of this team are necessary for this procedure, so costs are lower.
  • Webb and his team will take care of you from the initial consult all the way up until you are ready to return home. They will provide you with personalized service and a warm, friendly atmosphere, from the Surgical Center and at his office.
  • You will meet with Dr. Webb before the surgery to answer all your questions and address any concerns you may have about the procedure. He will also have you schedule a post-op visit so he can see you before you leave town, to ensure you are doing well with your recovery process.

If you have any other questions or comments, feel free to leave a comment below! You can also contact Kim, who can be reached by phone at 480-291-6348, or by email.

 

 

Insurance 101 Part 1: Will Insurance Cover FTM Surgery?

The insurance world can be a little confusing, especially if you are not familiar with the frequently used terminology. This blog may help you understand your insurance coverage a little better and help you be a little more prepared should you ever need to contact your insurance company to ask about coverage.

It is always very important to understand your insurance plan and what your premiums pay for. I am going to cover some very common terms that you have probably heard or read when you signed up for your policy.

 COPAY:

A copay is a set amount that the insured (that’s you) pays for certain services. For example, you may pay a $20 copay every time you visit your primary care doctor’s office, or you pay a $50 copay every time you see a specialist. Copays do not count towards your deductible and you typically still have to pay a copay even after your deductible has been met.

DEDUCTIBLES:

A deductible is an amount that you as a policyholder must pay each year for your medical expenses before your insurance company will begin to pay their share.

For example, you have a health plan with a $1,500 deductible. After a stay at an in-network hospital, you might have a medical bill for $30,000. The insurance company is contracted with the hospital and this allows them to receive a substantial discount off the charges that are billed for your services. You would be responsible for paying the first $1,500 out of pocket. At that point, your health plan would begin to pay benefits for the remaining adjusted balance, according to the terms of your policy.

COINSURANCE:

Coinsurance refers to the money that an individual is required to pay for services rendered after your deductible has been paid. Coinsurance is often specified by a percentage.

For example, the insured pays 20% towards the charges for a service, and the insurance company pays 80%. You only owe your portion – in this example 20% – of the adjusted fee that the insurance company determines. After the insured has paid the deductible, he/she is responsible for a percentage of the overall costs, which is specified by the “coinsurance split” (In this example, the coinsurance split was 80/20). Some other common coinsurance splits are 90/10 and 70/30, in which the insured pays the smaller percentage and the carrier pays the higher percentage.

That remains the case until the out-of-pocket maximum for the year is reached. At that point, the insurance company will start to pay 100% of the covered claims, until the end of the year.

OUT OF POCKET MAXIMUM (OOPM):

Your out-of-pocket maximum is a pre-determined limit of money that an individual must pay out of his/her own pocket before the insurance company will pay 100% for the insured’s health care expenses. This pre-determined limit will vary from policy to policy.

 

Join us next week when we discuss a few more insurance terms, specific to transgender surgery!