Subject: 
        [Transavaya] SRS Coverage
   Date: 
        Thu, 19 Oct 2000 16:09:31 -0700
   From: 
        "Moriarty, Sharon (Sharon)" <sharonmoriarty@lucent.com>
     To: 
        Gina@gpac.org, Transavaya@tgender.net, sueharris@avaya.com,
        translucent@tgender.net, "'Catherine Loader'" <cathl@lucent.com>,
        "Parker, Alan A (Alan)" <aaparker@lucent.com>
    CC: 
        "Buckley, Madelyn (Madelyn)" <mbuckley@lucent.com>




Hi Karen and Mary Ann,

As you are both aware at this stage, I received my cheque for
SRS  about a week back (YesSSSS), minus a charge of $400 for
not pre-certifying and a $500 deposit that I had made for this surgery 
over two years ago.

I have recently submitted my bills to United Healthcare for the second
and more minor stage of this surgery (termed Labiaplasty) and I will
let you know how I get on there.

The following I see as the requirements that are needed to gain coverage,
at least this is what worked for me.

(i) Two letters of recommendation, from your primary therapist and  a
second

    from your second opinion therapist.  One of these therapist's must
possess
    a PhD degree in clinical behaviorism.

(ii) A letter of recommendation from your primary care physician that
supervised
    your transition outlining their professional qualifications and the
medical necessity
    of the procedure.

(iii) Medical pre-certification of the procedure to avoid a penalty.

(iv) Some information to suggest that you have followed the Harry
Benjamin 
      standards of care including information suggesting that the patient
suffers
      from Gender Identity Disorder.This information will need to form
part
of the content
      of the Doctor's and Therapist's letters of recommendations.

(v)  Detailed Billing information of the procedure, including the CPT
code
for the
      Procedure and the costs incurred because of hospital stay and
emergency care.

I have included two sample letters (one from my Doctor and one from my
primary
 therapist) that may be used as guidelines or templates for what may be
used
in the
 future. They follow very closely to the letters that I provided to
United. 

I suggest they be placed on either the Lucent Benefits Website or the
Transgender
Website that Mary Ann originally put together for reference.

 <<Doctor's_Letter.doc>>  <<Therapist's_Letter.doc>> 
Tomorrow, Friday is my last day at Lucent. I have decided to direct my
existential
compass towards a startup here in the valley and go for broke to not pass
go
do not
collect $200.  I will miss you all. I was looking at some of the earlier
e-mails sent on
the distribution list a few days ago and they certainly could make for
the
content 
of an interesting albeit almost unreal comedy 20 or 30 years from now (I
hope anyway
that is the case).

I will be going back in the other direction 20 or 30 years back in time
when
I visit Ireland
at Christmas to meet with some of my old friends that I recently got back
in
contact with.
I know that you will all wish me the best on this venture.

A thousand Hugs to you all (no make that two thousand hugs, I'm feeling
generous).

Sharon