Medicare AdvantageCoverageMedium impact
MA11.106j, Gender-Affirming Interventions
Independence Blue Cross·Endocrinology, Plastic Surgery, Urology +2 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 and/or reimbursement positions, along with general guidelines and informational updates. This policy became effective January 6, 2025.
Action Required
Immediately: Billing team should review the complete MA11.106j policy at the provided URL to understand specific changes to gender-affirming intervention coverage and reimbursement. Update billing procedures and prior authorization requirements as specified in the full policy document. Verify coverage criteria before submitting claims for gender-affirming procedures.