CommercialCoverageMedium impact
Gender Affirming Behavioral Health and Medical Services 3.01.22
Excellus BlueCross BlueShield·Psychiatry, Family Medicine, Internal Medicine +4 more·Miscellaneous
Effective date
Aug 21, 2025
We identified it
Jun 20, 2026
Summary
Excellus BlueCross BlueShield updated their medical policy for Gender Affirming Behavioral Health and Medical Services, effective August 21, 2025. The policy clarifies coverage for behavioral health services, comprehensive primary care, and preventive screening services for individuals diagnosed with gender dysphoria across all ages.
Action Required
Before August 21, 2025: Billing team must review and update internal documentation to ensure proper billing for gender dysphoria-related behavioral health services, comprehensive primary care, and preventive screening services for Excellus BlueCross BlueShield members. Update provider guidelines to reflect coverage for all ages and coordinate with related policies for hormone therapy prior authorizations.