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Frequently Asked Questions Benefits for LGBT Federal Employees and Annuitants

How would an individual know what services are medically necessary to treat gender dysphoria?

Brochures contain links to the plan websites and plan contact information (see www.opm.gov/fehbbrochures).  Members/prospective members may contact the health plan directly to learn more about medical necessity criteria, pre-authorization, and/or pre-certification.  As an example, many carriers require a period of hormone therapy before surgery will be approved for coverage.

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