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Surgeons Who Accept Medicaid for Top Surgery

Medicaid is a state-run health insurance program that provides payment for medical services for low-income citizens. The map below shows which states have have clarified that the state Medicaid program covers transition-related care.

Does Medicaid Cover Top Surgery?


Important Note:
Even in states not listed here, transgender exclusions in Medicaid plans may violate the Affordable Care Act and other federal and state laws. - National Center for Transgender Equality

If you live in California: This guide will help you understand the procedural steps to appeal a health care denial for health care plans that are managed by Medi-Cal.

If you live in New York: This guide [PDF] will help you navigate getting Medicaid coverage for Top Surgery in New York.


How to Proceed With Medicaid

1. Your primary care provider (PCP) writes a letter of medical necessity and requests a referral to a surgeon.

2. If approved, Medicaid will send the referral along to the surgeon, and the surgeon's office will contact you about your consultation date.

3. The surgeon will request a medical release from your PCP, a letter of recommendation from a therapist, and prior authorization from Medicaid for surgery. (Depending on your age and medical history, the surgeon may also order lab tests, a chest X-ray and a mammogram.)

The following surgeons accept state Medicaid for Top Surgery:


Arizona

Dr. Aaron Mason, MD
Banner - University Medicine North
3838 North Campbell Ave., Building 2
Tucson, Arizona 85719

California (Medi-Cal)

Dr. Scott Mosser, MD, FACS
Dr. Alexander Facque, MD
Dr. Ellie Zara Ley, MD
Dr. Daniel Jacobs, MD
450 Sutter St., Suite 1000
San Francisco, CA, 94108
More about Dr. Mosser »
More about Dr. Facque »
More about Dr. Ley »
More about Dr. Jacobs »

Dr. Thomas Satterwhite, MD
Dr. Dev Gurjala, MD
Dr. John Henry Pang, MD
Align Surgical Associates Inc.
2299 Post St., Suite 207
San Francisco, California 94115
More about Dr. Satterwhite »

More about Dr. Gurjala »
More about Dr. Pang »

Dr. Angela Rodriguez, MD
2100 Webster St.
San Francisco, California, 94115
More about Dr. Rodriguez »

Dr. Walter Lin, MD
The Buncke Clinic
45 Castro St., Suite 121
San Francisco, California 94114
More about Dr. Lin »

Dr. Kriya Gishen, MD
Dr. Kriya Inc.
150 S. Rodeo Dr., Suite 200
Beverly Hills, California 90212
More about Dr. Kriya »

Dr. Nicholas Bene, MD
Dr. David Kahn, MD
Stanford Health Care
Plastic and Reconstructive Surgery Clinic
1000 Welch Rd., Suite 100
Palo Alto, California 94304

Dr. Michael DeLong, MD
UCLA Gender Health Program
Plastic Surgery Dept.
200 Medical Plaza, Suite 460
Los Angeles, California, 90095

Dr. Susan J. Fisher, MD
Carol Franc Buck Breast Care Center at UCSF
Box 0665
San Francisco, California, 94115

Dr. Susan Kaweski, MD
Aesthetic Arts Institute
8415 Grant Ave.
La Mesa, California, 91941

Dr. Esther Kim, MD
UCSF Department of Surgery at SFGH
1001 Potrero Ave., Ward 3A
San Francisco, CA, 94110

Dr. Gil Kryger, MD
Kryger Institute of Plastic Surgery
425 Haaland Dr., Suite 102
Thousand Oaks, California, 91361

Dr. Jessica Lee, MD
Children's Hospital Los Angeles
4650 Sunset Blvd.
Los Angeles, California 90027
Accepts Medi-Cal Managed Care.

Dr. Priya Lewis, MD
UC San Diego Gender Health
4520 Executive Dr.
San Diego, California 92121

Dr. Dung Nguyen, MD
Stanford Women's Cancer Centre
900 Blake Wilbur Drive, 1st Floor
Palo Alto, California 94304

Dr. Roberto Travieso, MD
Dr. Regina Baker, MD
Gender-Affirming Care Program, Keck Medicine of USC
1450 San Pablo St., Suite 6200
Los Angeles, California, 90033


Colorado

Dr. Christodoulos Kaoutzanis, MD
Dr. David Mathes, MD
Dr. Julian Winocour
UCHealth Integrated Transgender Program
Anschutz Outpatient Pavilion
1635 Aurora Crt., 6th Floor
Aurora, Colorado 80045

Dr. Stephanie Malliaris, MD
Dr. Corrine Wong, MD
Denver Health's LGBT Center of Excellence
777 Bannock St.
Denver, Colorado 80204


Connecticut

Dr. Laurel Chandler, MD
Chandler Plastic Surgery
777 Post Rd., Suite 304
Darien, Connecticut 06820
More about Dr. Chandler »

Dr. Kathy Rumer, DO
Rumer Cosmetics
105 Ardmore Ave.
Ardmore, PA, 19003
Approved out-of-state Medicaid provider for CT
More about Dr. Rumer »

Dr. David M. Bass, MD, PC
85 Seymour St #718,
Hartford, Connecticut 06106

Dr. John Borokowski, MD
Middlesex Health
85 Church St.
Middletown, Connecticut 06457

Dr. Charles Castiglione, MD, FACS
Hartford Healthcare Medical Group
399 Farmington Ave., Suite 10
Farmington, CT 06032

Dr. John A. Persing, MD
Yale Plastic Surgery
Yale Physicians Building, 800 Howard Ave., Ste 4th Floor
New Haven, CT 06519


Georgia

Dr. Takintope Akinbiyi, MD, Msc
Advanced Aesthetics Plastic Surgery Center
One Prestige Park, 874 W. Lanier Ave., Suite 100
Fayetteville, Georgia, 30214

Dr. Albert Loksen, MD
Dr. Heather Faulkner, MD
Emory University Hospital
550 Peachtree St. NE, Medical Office Tower, Fl 9
Atlanta, Georgia 30308
Take insurance, Medicaid and Medicare.

Dr. Peter Thompson, MD
Emory Saint Joseph's Hospital
5665 Peachtree Dunwoody Road, Erb Bldg, Fl 1
Atlanta, Georgia 30342


Illinois

Dr. Julia Corcoran, MD, FACS
University of Illinois Hospital, Craniofacial Center
811 South Paulina St.
Chicago, Illinois 60612

Dr. Courtney Cripps, MD
UChicago Medicine – River East
355 E Grand Ave.
Chicago, Illinois 60611

Dr. Marco Ellis, MD
Dr. Sumanas Jordan, MD
Dr. Andrea Battistini, MD

Gender Pathways Program
Northwestern Medicine Plastic and Reconstructive Surgery Practice
675 N St. Clair St., Ste 19-250, Galter Pavilion
Chicago Illinois 60611

Dr. Victor Stams, MD
Carle Outpatient Services at The Fields
Carle Foundation Hospital
3105 Fields South Dr.
Champaign, Illinois 61822


Indiana

Dr. Ivan Hadad, MD
IU Health Physicians Plastic Surgery
720 Eskenazi Ave, H4-827
Indianapolis, Indiana 46202


Iowa

Dr. Allison Lorenzen, MD
University of Iowa Health Care LGBTQ Clinic
Medical Center
200 Hawkins Dr.
Iowa City, Iowa 52242


Kansas

Dr. Satish Ponnuru, MD
The University of Kansas Hospital
4000 Cambridge St.
Kansas City, Kansas 66160


Kentucky

Dr. David Drake, MD
Transform Health at UK HealthCare – Turfland
2195 Harrodsburg Rd.
Lexington, Kentucky 40504

Dr. Tathyana Fensterer, MD, PhD
Baptist Health Medical Group Plastic and Reconstructive Surgery
511 Robinbrooke Blvd., Suite 100
Elizabethtown, Kentucky 42701

Dr. Benjamin Kittinger, MD
Owensboro Health Medical Group Plastic and Reconstructive Surgery
2211 Mayfair Ave., Suite 305
Owensboro, Kentucky 42301


Louisiana

Dr. Daniel Womac, MD
LSU Dept. of Plastic Surgery
3700 St. Charles Ave., 3rd Floor
New Orleans, Louisiana 70115


Maryland

Dr. Gabriel Del Corral, MD, FACS
Medstar Center for Gender Affirmation
9105 Franklin Square Dr., Suite 214
Baltimore, Maryland 21237
Maryland Physicians Care Medicaid excluded.
More about Dr. Del Corral »

Dr. Neelesh Kantak, MD
Mid-Atlantic Permanente Medical Group
1221 Mercantile Ln.
Largo, Maryland 20774

Dr. Fan Liang
Dr. Wendy Chen, MD, MS
Center for Transgender and Gender Expansive Health, Johns Hopkins University
601 N. Caroline St.
Baltimore, Maryland 21287


Massachusetts

Dr. Jay Austen, MD
Dr. Katherine Carruthers, MD
Transgender Health Program
Massachusetts General Hospital
15 Parkman Street
Boston, MA 02114-3117

Dr. Christopher J. Davidson, MD, FACS
332 Washington St., Suite 100
Wellesley, Massachusetts 02481

Dr. Joyce K. McIntyre, MD
UMass Memorial Medical Center - Hahnemann Campus
281 Lincoln Street
Worcester, Massachusetts 01605

Dr. Aparajit Naram, MD, FACS
Baystate Plastic & Reconstructive Surgery - MOB
2 Medical Center Drive, Suite 206
Springfield, Massachusetts 01107

Dr. Devin O’Brien-Coon
Dr. Shailesh Agarwal, MD
Dr. Kavitha Ranganathan, MD
Brigham and Women's Hospital
Division of Plastic Surgery
75 Francis St.
Boston, Massachusetts 02115

Dr. Pranay Parikh, MD
Medical Office Building 2
Medical Center Dr., Suite 309
Springfield, Massachusetts 01107

Dr. Caroline Plamondon, MD
Southcoast Health Breast Center
300B Faunce Corner Rd.
Dartmouth, Massachusetts 02747

Dr. Derek Daniel Reformat, MD
Longwood Plastic Surgery
235 Cypress St, Suite 210
Brookline, Massachusetts 02445

Dr. Beverly M. Shafer, MD, FACS
900 Cummings Center, Suite 112W
Beverly, Massachusetts 01915

Dr. Jaromir Slama, MD
Dr. Daniel Roh, MD, PhD
Boston Medical Center
Shapiro Center
725 Albany St., 8th Floor, Suite 8A
Boston, Massachusetts 02118

Dr. Helena O. Taylor, MD, FACS, PhD
Dr. Stephen R. Sullivan, MD, FACS, MPH

Taylor & Sullivan Plastic Surgery
300 Mount Auburn St., Ste 304
Cambridge, Massachusetts 02138

Dr. Adam M. Tobias, MD
Beth Israel Deaconess Medical Center
330 Brookline Ave.
Boston, Massachusetts 02215

Dr. Simone Topal, MD
Northampton Plastic Surgery
40 Main Street, Suite 202
Florence, Massachusetts 01062


Michigan

Dr. Amie Hop, MD
Dr. G. Paul Wright, MD
SHMG Comprehensive Breast Clinic
145 Michigan St NE, Suite 4400
Grand Rapids, Michigan 49503

Dr. Donna G. Tepper, MD
Henry Ford Hospital
2799 W. Grand Blvd., K16
Detroit, Michigan 48202

Dr. Edwin G. Wilkins, MD
Dr. Paul Stephen Cederna, MD
Dr. Jessica Jen-Tau Hsu, MD
University of Michigan Comprehensive Gender Services
2025 Traverwood Dr., Suite A1
Ann Arbor, Michigan 48105


Minnesota

Dr. Marie-Claire Buckley, MD
Dr. Hector Marcano, MD
Dr. Thomas Suszynski, MD
University of Minnesota Health
Comprehensive Gender Care
Clinics and Surgery Center
909 Fulton St. SE
Minneapolis, Minnesota 55455

Dr. James H. Kong, MD
Dr. Brittany Nguyen, MD
Park Nicollet Plastic Surgery St. Louis Park
5400 Excelsior Blvd.
Saint Louis Park, Minnesota 55416-2913


Mississippi

Dr. Shelby K. Brantley, Jr. MD
The Face & Body Center
2550 Flowood Dr.
Flowood, Mississippi 39232


Missouri

Dr. Carol Ann Aylward, MD
University Health Plastic Surgery Center
2101 Charlotte St.
Kansas City, Missouri 64108

Dr. Kamlesh B. Patel, MD
Washington University Transgender Center at St. Louis Children's Hospital
One Children's Place
St. Louis, Missouri 63110


Nebraska

Dr. Sean C. Figy, MD
University of Nebraska
Gender Care Clinic
Great Plains Health
501 W. Leota St.
North Platte, Nebraska 69101

Dr. Perry Johnson, MD
University of Nebraska
Gender Care Clinic
Village Pointe Aesthetic Surgery
17617 Burke St.
Omaha, Nebraska 68118

Dr. Cassidy Mitchell, MD
Lincoln Aesthetic Surgical Institute
Bryan West Campus, West Medical Plaza, Tower A
2222 S. 16th St., Suite 430
Lincoln, Nebraska 68502


New Hampshire

Dr. Kimberly Marble, MD
Core Physicians
Plastic and Reconstructive Surgery
Medical Office Building
3 Alumni Drive, Suite 402
Exeter, New Hampshire 03833
(Also practices in ME.)

Dr. Joseph Shin, MD
Dartmouth-Hitchcock Medical Center
Plastic Surgery, One Medical Center Drive
Lebanon, NH 03756


New Jersey

Dr. Jonathan Keith, MD, FACS
Dr. Drew Marano, MD
East Coast Advanced Plastic Surgery (ECAPS)
Livingston Office, 200 South Orange Ave., Ste 295,
Livingston, New Jersey 07039
More about Dr. Keith »

More about Dr. Marano »

Dr. Richard Agag, MD
Dr. Jeremy Sinkin, MD

Gender Center of Excellence
Robert Wood Johnson University Hospital
1 Robert Wood Johnson Place
New Brunswick, New Jersey 08901

Dr. Susanna M. Nazarian, PhD, MD
Sidney Kimmel Cancer Center
900 Medical Center Drive
Sewell, New Jersey 08080


New Mexico

Dr. Jaime Aburto, MD
Three Crosses Regional Hospital
2560 Samaritan Dr.
Las Cruces, New Mexico 88001

Dr. Jeffrey Morehouse, MD
Lovelace Medical Group
6701 Jefferson NE
Albuquerque, New Mexico 87109


New York

Dr. Drew Marano, MD
Dr. Jonathan Keith, MD, FACS
East Coast Advanced Plastic Surgery (ECAPS)
374 W 11th St.
New York, New York 10014
201-449-1000
www.ecaplasticsurgery.com
WPATH member; accepts insurance, Medicaid & Medicare; will operate on minors with parental consent; wait list one month.
More about Dr. Marano »
More about Dr. Keith »

Dr. Rachel Bluebond-Langner, MD
Dr. Oriana Cohen, MD
NYU Plastic Surgery Associates
222 East 41st St.
New York, NY 10017

Dr. Jose G. Christiano, MD, FACS
UR Medicine Plastic Surgery
160 Sawgrass Dr., Suite 120
Rochester, NY 14620

Dr. Leslie Cohen, MD
Weill Cornell Medicine
Plastic & Reconstructive Surgery
525 East 68th St., Starr 8
New York, New York 10065

Dr. Lisa Gfrerer, MD
Weill Cornell Medicine
Plastic & Reconstructive Surgery
1315 York Ave., Ground Level
New York, New York 10021

Dr. Alyssa Golas, MD
NYU Langone Ambulatory Care Bay
Ridge 6740 Fourth Ave., 3rd Floor
Brooklyn, New York 11220

Dr. Thom R. Loree, MD
100 College Pkwy., #290
Buffalo, NY 14221

Dr. Aleksandra Krajewsky, MD
Stony Brook Medicine
101 Nicolls Road
Stony Brook, NY 11794

Dr. Jess Ting, MD
Dr. Bella Avanessian, MD
Dr. Elan Horesh, MD, MPH

Mount Sinai Center for Transgender Medicine and Surgery
Institute for Advanced Medicine
275 7th Ave.
New York, New York 10011

Dr. Paul Weiss, MD
1049 Fifth Avenue, Suite 2D
New York, NY, 10028


North Carolina

Dr. Jennifer Carr, MD
Dr. Adeyemi Ogunleye, MD
UNC Plastic and Reconstructive Surgery
Boyd Hall, 55 Vilcom Center Dr.
Chapel Hill, North Carolina 27514

Duke Aesthetic Center
3475 Erwin Rd.
Durham, NC 27705


Ohio

NOTE: While Ohio law explicitly excludes coverage for gender-affirming care, it's not consistently enforced. Surgeons in private practice won't take Medicaid, but the following hospital systems have successfully billed Medicaid.

Dr. Bahar Bassiri Gharb, MD, PhD
Dr. Raymond Isakov, MD
Cleveland Clinic
Gender Affirming Surgery Program
9500 Euclid Ave.
Cleveland, Ohio 44195

Dr. Adam Cash, MD
Mercy Health - Howland Plastic and Reconstructive Surgery
1950 Niles Cortland Road Northeast, Suite 4
Warren, Ohio 44484

Dr. Bram Kaufman, MD
Dr. Kyle J. Chepla, MD
Dr. David Rowe, MD
Dr. Ali Totonchi, MD

MetroHealth
2500 MetroHealth Drive
Cleveland, Ohio 44109

Dr. Joseph Khouri, MD
UH Cleveland Medical Center
11100 Euclid Ave.
Cleveland, Ohio 44106


Oklahoma

Dr. Suhair Maqusi
OU Health Physicians – Plastic Surgery Clinic
825 NE 10th, 1G
Oklahoma City, Oklahoma 73104


Oregon

Dr. Jens Berli

Dr. Jens Berli, MD
Dr. Juliana Hansen, MD
Dr. Blair Peters, MD
Dr. Monica Llado-Farrulla, MD
Oregon Health & Science University
Transgender Health Program
Plastic and Reconstructive Surgery Clinic, South Waterfront
3303 S. Bond Avenue, 5th floor
Portland, Oregon 97239

Dr. Hemangini Thakar, MD, FACS
Legacy Medical Group - Reconstructive Surgery
2800 N. Vancouver Ave., Suite 130
Medical Office Building 1
Legacy Emanuel Medical Center campus
Portland, OR 97227


Pennsylvania

Dr. Kathy Rumer, DO
Rumer Cosmetics
105 Ardmore Ave.
Ardmore, PA, 19003
More about Dr. Rumer »

Dr. Kenneth Arthur
LG Health Physicians Plastic and Cosmetic Surgery
Lancaster General Health Suburban Pavilion
2110 Harrisburg Pike, Suite 210
Lancaster, Pennsylvania 17601

Dr. Alireza Hamidian Jahromi, MD, MRCS
Temple University Hospital
3401 N. Broad Street
Parkinson Pavilion, 4th Floor
Philadelphia, Pennsylvania 19140

Dr. Jared Liebman, MD
Einstein Medical Center Philadelphia
5401 Old York Rd., # 101
Philadelphia, Pennsylvania 19141

Dr. Vu T. Nguyen, MD
Dr. Elizabeth Bailey, MD
UPMC Plastic and Reconstructive Surgery
9102 Babcock Blvd., Suite 206
Pittsburgh, Pennsylvania 15237

Dr. Ivona Percec, MD
Penn Plastic Surgery
130 S Bryn Mawr Ave.,
Bryn Mawr, Pennsylvania 19010

Dr. Katherine Rose, MD
Main Line Health
933 Haverford Rd.,
Bryn Mawr, Pennsylvania 19010


Rhode Island

Dr. Daniel Kwan, MD
Rhode Island Hospital
Dept. of Plastic Surgery
235 Plain St.
Providence, RI 02905


South Carolina

Dr. Jarom Nathan Gilstrap, MD
Prisma Health Plastic Surgery – 2 Med Park
2 Medical Park Road, Suite 302
Columbia, South Carolina 29203


Texas

Dr. Dany Hanna, DO
Hanna Gender Center
255 Lebanon Rd, Suite 112
Frisco, Texas, 75036
Out-of-state Medicaid only, not Texas Medicaid.
More about Dr. Hanna »


Utah

Dr. Nicholas Kim, MD
Intermountain Health
Salt Lake Clinic - Plastic Surgery
389 South 900 East
Salt Lake City, Utah 84102


Vermont

Dr. Joseph Shin, MD
Dartmouth-Hitchcock Medical Center
Plastic Surgery, One Medical Center Drive
Lebanon, NH 03756
(Out-of-state Medicaid provider.)


Virginia

Dr. Philip E. Grubb, Jr., MD
Carilion Clinic Plastic and Reconstructive Surgery
817 Davis St., Suite 2
Blacksburg, Virginia 24060

Dr. John Stranix, MD
University of Virginia Plastic Surgery
1300 Jefferson Park Ave., 4th Floor
Charlottesville, Virginia 22908


Washington

Dr. Russell Ettinger, MD
Dr. Shane Morrison, MD
University of Washington
325 9th Ave.
Seattle, Washington 98104

Dr. Samuel Lien, MD
Providence Medical Group - Mill Creek Campus
12800 Bothell-Everett Hwy., Suite 260
Mill Creek, Washington, 98208

Dr. Suzette G. Miranda, MD
Dr. Wandra L. Miles, MD
Swedish Plastics and Aesthetics
1221 Madison St., Floor 6
Seattle, Washington 98104

Dr. Alexandra Schmidek, MD
Virginia Mason Medical Center
1100 Ninth Ave.
Seattle, Washington 98101

Dr. Isaac Stein, MD
University of Washington
Surgery Pavilion, 1959 NE Pacific St.
Seattle, Washington 98195

Dr. Geoffrey D. Stiller, MD, FACS
Stiller Aesthetics
805 W. 5th Avenue, Suite 619
Spokane, Washington 99204


Washington DC

Dr. Gabriel Del Corral, MD, FACS
Medstar Center for Gender Affirmation
110 Irving St NW
Washington, DC 20010
More about Dr. Del Corral »


Wisconsin

Dr. Katherine Gast, MD
Dr. Jacqueline Israel, MD
Dr. Venkat K. Rao, MD, MBA
University of Wisconsin
UW Health Comprehensive Gender Services Program
600 Highland Ave.
Madison, WI, 53792
More about Dr. Gast »


References

Which U.S. States' Medicaid Programs Provide Coverage for Gender-Affirming Hormone Therapy and Gender-Affirming Genital Surgery for Transgender Patients?: A State-by-State Review
Zaliznyak M, Jung EE, Bresee C, Garcia MM. J Sex Med. 2021 Feb;18(2):410-422.
Our findings show that only 25 of 51 (49%) include Gender Affirming Surgery as covered benefits. Our experience suggests that the process to confirm coverage can be especially time-consuming and frustrating for patients.

 

Last updated: 11/20/24

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