How To Get Hrt In Maryland?


How To Get Hrt In Maryland
Gender Affirming Care is now offered at Planned Parenthood of Maryland! Make an appointment. Online appointment scheduling not available. Our services include:

Gender affirming hormone therapy for individuals aged 16 and older. Parental/guardian consent required for <18 years Resources and referrals for primary care, mental health, surgery, dental care, legal services, electrolysis, support groups, and more Sensitive sexual/reproductive health care and preventive screenings

How do I make an appointment? Currently, hormone therapy services are available via telehealth. Whether you’re already a patient or would like to become a new patient, simply call us at 410-576-1414 and make your virtual appointment. Online appointment scheduling not available at this time.

Online appointment scheduling for gender affirming care Planned Parenthood is dedicated to making healthcare accessible and welcoming to everyone who needs that care, no matter what. Currently, online appointment scheduling is not available. When you make an appointment by phone, or in person, and when you arrive for your appointment, your forms and health records at Planned Parenthood will provide diverse gender options.

Thank you for your patience.

Can I get HRT without seeing a doctor?

How to get started on HRT – Speak to a GP if you’re interested in starting HRT. You can usually begin HRT as soon as you start experiencing menopausal symptoms and will not usually need to have any tests first. A GP can explain the different types of HRT available and help you choose one that’s suitable for you.

Does Maryland Medicaid cover HRT?

How To Get Hrt In Maryland photo by Hush Naidoo Jade Photography. In light of recent federal policy changes, Sen. Mary L. Washington (D-Baltimore City) and Del. Anne R. Kaiser (D-Montgomery) are urging the Department of Health to redesign its Medicaid policy surrounding health care for transgender Marylanders.

Washington and Kaiser wrote to Maryland Department of Health Secretary Dennis R. Schrader in early April, saying that the state is at risk of being sued for violating nondiscrimination provisions under the Affordable Care Act. That’s because the current policy covers only a small set of gender-affirming procedures, and includes several exclusions and a long list of criteria that must be met to receive covered services.

“We strongly urge the Department to develop a new policy in line with legal requirements and defined by clinical best-practices in providing gender-affirming healthcare to our transgender population,” they wrote. On a call Friday afternoon, Washington said the letter was her way of ensuring she did her “due diligence in exploring all pathways in getting this done.” ” was hoping that the legislative pathway would not be necessary,” Washington said.

Kaiser and Washington cosponsored a bill during the 2022 legislative session that would have extended coverage of gender-affirming medical services available to those with private insurance to Medicaid recipients. The legislation passed out of the Senate chamber but seemed to disappear after a vote by the House Health and Government Operations Committee.

Hormone Replacement Therapy in Maryland

Tricia Roddy, the deputy Medicaid director at the Department of Health, responded to Washington and Kaiser this week indicating that the agency will not be revising its policy. “hile we will continue to review new federal developments as appropriate, MDH determined that no change to existing Maryland Medicaid coverage is required at this time,” Roddy wrote Wednesday.

  1. In April, the U.S.
  2. Department of Health and Human Services announced that it would be interpreting anti-sex discrimination provisions in the Affordable Care Act to include a prohibition on discrimination on the basis of gender identity and sexual orientation.
  3. According to Washington and Kaiser, the federal agency is backing transgender patients who submit discrimination complaints to require states to comply.
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They warned Schrader that the state is at risk of litigation for not offering appropriate gender-affirming care benefits through its Medicare and Medicaid plans. They also said the Department of Health could face discrimination lawsuits from private citizens under its own law,

  1. Maryland cannot afford to wait any longer for the Department to update its policy,” Washington and Kaiser wrote.
  2. Uniquely target and discriminate’ The Maryland Medical Assistance Program’s policy requires that organizations under the state’s Medicaid system cover certain transgender health services, including outpatient mental health services to treat gender dysphoria, hormone replacement therapy, lab services and gender affirmation surgery.

In order for a patient to qualify for gender-affirmation surgery, they must prove they have suffered from persistent gender dysphoria for at least two years. According to the Mayo Clinic, gender dysphoria is the severe feeling of distress in people whose gender identity is different than the sex they were assigned at birth.

  • The patient’s dysphoria must not be a result of another mental illness.
  • However, under Maryland’s policy, dysphoria must be so severe that it causes “clinically significant distress” or impairs an individual’s ability to function in social or work settings.
  • If they suffer from another clinical mental health disorder — like bipolar disorder, dissociative identity disorder or borderline personality disorder — the patient must be medicated or receive psychotherapy before a physician signs off on gender-affirming surgery.

Patients must then also be assessed by and receive two signed letters from qualified mental health professionals. At least one of them must have a doctoral degree. These letters must indicate that the patient has been undergoing hormone replacement therapy for at least one year and, if possible, detail how long they have been presenting as their gender.

  • If the patient is seeking a mastectomy, only one letter is required and they don’t need to have undergone continuous hormone replacement therapy.
  • Breast augmentation is covered only if the hormone-prescribing physician has documented that a patient’s breast size is still causing severe psychiatric distress after one year of hormone replacement therapy.

While Maryland health care plans are required to cover gender-affirmation surgery, there are other services, like those that reconstruct the face, remove hair or alter the voice — and the second stage of a female-to-male genital reconstruction procedure — that are not covered.

  1. Many of these exclusions are in conflict with recommended standards of care from the World Professional Association for Transgender Health.
  2. These exclusions uniquely target and discriminate against transgender individuals,” Washington and Kaiser wrote.
  3. As such, the Policy fails to comply with state and federal law.” Roddy said that the health department compared its existing policy to that of other states and reviewed the World Professional Association for Transgender Health’s standards of care.

‘Categorical exclusions’ Outside of their allegations that the state’s current policy is discriminatory, Washington and Kaiser say it violates federal Medicaid law. Under federal law, services offered under health care plans must “be sufficient in amount, duration, and scope to reasonably achieve its purpose” and cannot “arbitrarily deny or reduce the amount, duration, or scope of a required service solely because of the diagnosis, type of illness, or condition.” According to the lawmakers, Maryland’s Medicaid program “creates categorical exclusions to gender-affirming care” and “fails to provide sufficient treatment.” They also said the policy is in violation of the Code of Maryland Regulations, which states that managed care organizations must provide services and information that address “the individualized needs of its enrollees, regardless of gender, sexual orientation, or gender identity.” Additionally, Washington and Kaiser alleged that the state is in violation of a regulation requiring care organizations to provide members suffering from gender dysphoria with necessary medical treatments — not just gender affirmation surgery.

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Is HRT free with insurance?

Prescription Medications – If you are a good candidate for HRT, your doctor will prescribe the appropriate hormones. Today, there are many hormone therapies available, including synthetic and bioidentical options, You and your doctor will decide which is best for you, taking into account your personal preferences and lifestyle.

Why is HRT so hard to get?

The British Menopause Society has issued an update on HRT supply to provide guidance to BMS members and clinical practitioners on the current availability of HRT products. The UK continues to experience shortages in supplies of Oestrogel. Besins have indicated they are receiving deliveries of this product on a regular basis and acknowledge that the current supply is sometimes insufficient to meet the continuing extraordinary demand.

Besins have delivered significant volumes of Oestrogel into wholesalers recently, which is approaching double the amount supplied in the same period January to April last year. The company is working to increase and expedite supplies to wholesalers and pharmacies across the country. In addition to the increases described above, Besins Healthcare plans to further increase production capabilities to enable further supplies of this product into the UK market in the longer term.

The BMS advises women who are experiencing difficulty in obtaining Oestrogel to consider equivalent alternative HRT preparations. This could include patches, Sandrena gel (0.5mg or 1mg) or Lenzetto spray preparations. Prescribers should consider using equivalent preparations to those that their patients are currently using.

If an exact match is not possible, prescribers can seek guidance available on the BMS website to clarify equivalent doses: BMS HRT preparations and equivalents BMS HRT – practical prescribing Consideration could also be given to prescribing estrogen and progestogen separately to make the closest match or to find a suitable alternative.

Different brands for the same medication may vary in appearance or excipients. However, they would provide equivalent amounts of hormones when used in similar doses. Besins have recently released a new Testogel sachet (40.5mg/2.5 ml). The new 40.5 mg/2.5ml sachet could be administered off-label over 8 days (1/8th of a sachet will deliver 5 mg) and this is contained in a smaller volume of gel.

Alternatively, Testim (off-label use), Tostran (off-label use) or Androfeme (if issuing a private prescription), could be prescribed as referred to in the update. The Scottish Medicines Consortium (SMC) has accepted HRT treatment, Bijuve ® (1mg estradiol / 100mg micronised progesterone), for use across NHS Scotland.

Bijuve ® is the first, and only, body-identical HRT for estrogen deficiency symptoms in post-menopausal women, which combines estradiol and progesterone in a single daily oral capsule. This milestone will help to address a growing area of unmet need when it comes to menopause treatment in Scotland.

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Acceptance by the SMC will ensure that women across Scotland will now be able to access this product. However, this is not the case in England where still only a handful of formularies have been updated to include this product. This is partly due to backlogs in formulary approvals caused by the COVID-19 pandemic, as well as a lack of prioritisation of women’s health issues.

The ongoing challenges brought on by the COVID-19 pandemic have resulted in many women experiencing difficulties in obtaining their HRT supplies. We appreciate that continuing HRT is likely to help many women control their menopausal symptoms, particularly relevant given the additional stress some women may be under in view of the strains of the current situation on society.

  1. In addition, General Practitioners’ surgeries have been under ongoing additional pressure as a result of the pandemic.
  2. We recommend that Healthcare Professionals and prescribers follow the joint guidance issued by the BMS, RCOG, RCGP and FSRH.
  3. This recommends that General Practitioners and healthcare providers consider advising women about menopause issues through telephone and virtual consultations where possible.

This will reduce face to face consultations and improve access to repeat prescriptions of HRT supplies (especially to women who have been on HRT and have not been experiencing any problems). This will help to avoid the need for many women to visit their GP surgery for repeat prescriptions.

  1. This can be accessed through the following link: Framework for restoration of menopause services in response to COVID-19 Signposting is also provided to resources on the BMS website as well as Women’s Health Concern (WHC) website, Menopause Matters and the Primary Care Women’s Health Forum (PCWHF).
  2. BMS members can post prescribing queries on the BMS forum if any clarifications are required.

The information on stock availability and supplies below was obtained from the pharmaceutical companies manufacturing these products. We are not in a position to comment on availability at wholesale suppliers’ level and appreciate that availability from wholesale suppliers may lag behind and thus sometimes vary from the information provided by the manufacturers.

Does HRT cause weight gain?

Weight gain and HRT – Many women believe that taking HRT will make them put on weight, but there’s no evidence to support this claim. You may gain some weight during the menopause, but this often happens regardless of whether you take HRT. Exercising regularly and eating a healthy diet should help you to lose any unwanted weight,

Does HRT require insurance to start?

How to Know if My Health Insurance Covers HRT (Hormone Replacement Therapy) Hormone replacement therapy HRT has a variety of uses for patients with different health concerns and needs. Examples of HRT include progesterone therapy, estrogen therapy, testosterone therapy, and human growth hormone (HGH) therapy.

  • Due to the usefulness of HRT in improving the physical conditions of patients who undergo such therapy, it can even be considered as a medical necessity.
  • However, there is a catch – the HRT cost is typically prohibitive, and you will most likely need health or medical insurance to help cover the cost.

Not all health insurance policies include HRT in their coverage, which is why you must know if your health insurance covers HRT.