Medicare AdvantageCoverageMedium impact
MA11.106j, Gender-Affirming Interventions
Independence Blue Cross·Endocrinology, Plastic Surgery, Urology +4 more·Medical Policy
Effective date
Jan 6, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.106j for Gender-Affirming Interventions has been updated with changes to coverage positions and general guidelines. This policy was notified on 11/29/2024 and becomes effective 01/06/2025, affecting billing and reimbursement for gender-affirming medical services.
Action Required
By January 6, 2025: Billing team must review updated policy MA11.106j for Gender-Affirming Interventions at the provided URL to understand new coverage positions and reimbursement guidelines. Update billing procedures and prior authorization requirements as specified in the full policy document for Medicare Advantage members seeking gender-affirming services.