Proposed Lucent HR Policy: If the letter from the credentialed mental health specialist certifies that the patient has been diagnosed with Gender Identity Disorder (according to the current DSM) and that the patient has followed the guidelines of the Standards of Care (according to the Harry Benjamin International Gender Dysphoria Association) then we shall conclude that the proposed treatment of Hormone Therapy and/or Sex Reassignment Surgery is medically necessary and is covered by the plan.