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Insurance, Fees, and Payments | Marci L. Bowers, M.D.

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<!-- end .masthead --> <section class="main container"> <div class="column span-3"> <div class="column-box" style=""> <article id="post-66" class="post-66 page type-page status-publish hentry"> <header class="entry-header"> <h1 class="entry-title">Insurance, Fees, and Payments</h1> </header><!-- .entry-header --> <div class="entry-content"> <p>We accept all major insurance plans, and are in network with most companies. Please bring your insurance ID card(s) to your office visit, regardless of expected coverage of each plan. </p> <p>If there is a co-payment for your office visit, you will be expected to pay this at the time of your visit.&nbsp;We accept all major credit / debit cards, cash or personal checks.</p> <h2>Medicare</h2> <p>Despite years of efforts with Medicare, we have been unable to contact any Medicare personnel who can guarantee approval and reimbursement. In our test cases, there have been continual denials of our claims, so eventually we withdrew from Medicare. However, our hospital and anesthesia group are contracted with and accepting Medicare for transgender surgery, and have successfully submitted claims. This means that while you will need to pay the self-pay rate to our office prior to surgery, the hospital and anesthesia group will not require payment upfront, and will bill Medicare. You will still need to provide two strong letters of recommendation which will be submitted to Medicare by the hospital following your surgery. Please contact our office with questions. </p> <h2>Medicaid/Medi-Cal</h2> <p>We are sympathetic to those with Medicaid. We believe in access for all. However, due to the lengthy and often arduous process necessary for pre-authorization, we are not contracted with MediCal (California state Medicaid), or any MediCal managed plans, <em>other than San Francisco Health Plan</em>. We are not contracted with any out-of-state Medicaid or Medicaid managed plans. </p> <h2>Gynecologic Visits</h2> <p>For <strong>Gynecologic Visits, </strong>co-payment is usually minimal but does vary by plan. Most annual exams are covered without copay so please let us know if this is the specific reason for your visit with us. </p> <h2>FGM/c Patients</h2> <p>For <strong>FGM/c Patients</strong>, there is a small office charge for advance consultations, but Dr. Bowers does not charge or collect any surgical fees. The only surgical fees you would be expected to pay for are those for the operating room and anesthesia. </p> <h2>Surgical Fees</h2> <p>For <strong>Surgical Fees</strong>, our pre-authorization process can help you to know exactly how much your co-payment might be expected to cost. This is done about 6 months prior to the surgery date.&nbsp;</p> <p>If you are having a surgery or procedure, we will likely need to obtain pre-authorization from your insurance company. You will be given specific paperwork and instructions to allow us to complete the pre-auth. You will be asked to provide all insurance ID cards and information regardless of expected coverage of each plan. IF YOU DO NOT PROVIDE US WITH ALL OF YOUR INSURANCE INFORMATION, YOU MAY BE RESPONSIBLE FOR FULL CHARGES AFTER THE SURGERY, EVEN IF WE HAVE PRE-AUTHORIZATION. </p> <p>If you do not have insurance, we normally ask you to pay in full for the OR and anesthesia costs prior to your date of surgery. If you would like to know the cost of a specific type of visit or surgery, you may call us at any time at 650-570-2270.</p> </div><!-- .entry-content --> <footer class="entry-meta"> </footer><!-- .entry-meta --> </article><!-- #post --> </div> </div> <div class="column span-1 last"> <aside> <div> <ul class="socialicons clear"> <!--li class="icon twitter"><a href="#" target="_blank">Twitter</a></li--> <li class="icon facebook"><a href="http://www.facebook.com/GenderSurgery" target="_blank">Facebook</a></li> <li class="icon linkedin"><a href="http://www.linkedin.com/pub/marci-bowers/5/377/343" target="_blank">Linkedin</a></li> </ul> </div> <div> <div class="tertiary sidebar-container" role="complementary"> <div class="sidebar-inner"> <div class="widget"> <aside id="search-3" class="widget widget_search"> <form role="search" method="get" id="searchform" action="https://marcibowers.com/"> <input type="text" class="text" placeholder="Search this site" name="s" id="s" /> </form></aside><aside id="sks_templ_newsevents_posts-7" class="widget widget news-events"><div class="widget news-events"> <h3 class="widget-title">From Our Blog <span><a href="http://marcibowers.com/blog/category/appearances" class="more">see all&nbsp;&raquo;</a></span></h3> <ul class="latest_posts"> <li class=""> <a href="https://marcibowers.com/blog/dr-bowers-nyt-op-ed-piece/"> <span class="newstitle">Dr. Bowers&#8217; NYT Op/Ed Piece</span> </a> <span class="newscontent"> What Decades of of Providing Trans Healthcare Have Taught Me. Click here&hellip; <!--a href="https://marcibowers.com/blog/dr-bowers-nyt-op-ed-piece/"> more... </a--></span> <span class="newstime">Posted April 19, 2023</span> </li> <li class=""> <a href="https://marcibowers.com/blog/visiting-professor-lecture/"> <span class="newstitle">Visiting Professor Lecture</span> </a> <span class="newscontent"> Join Dr. Bowers for her lecture on Gender Affirming Surgery as a visiting&hellip; <!--a href="https://marcibowers.com/blog/visiting-professor-lecture/"> more... </a--></span> <span class="newstime">Posted October 22, 2020</span> </li> <li class=""> <a href="https://marcibowers.com/blog/live-stream-on-june-4th/"> <span class="newstitle">Live stream on June 4th</span> </a> <span class="newscontent"> Dr. Bowers and Dr. Daniel Simon from the FACIALTEAM discussed how the pandemic&hellip; <!--a href="https://marcibowers.com/blog/live-stream-on-june-4th/"> more... </a--></span> <span class="newstime">Posted May 28, 2020</span> </li> <li class=""> <a href="https://marcibowers.com/blog/i-am-janet-one-transgender-womans-journey-and-her-pioneering-surgery/"> <span class="newstitle">‘I am Janet.’ One transgender woman’s journey and her pioneering surgery</span> </a> <span class="newscontent"> Read this article featured on The Star in Toronto regarding the first patient&hellip; <!--a href="https://marcibowers.com/blog/i-am-janet-one-transgender-womans-journey-and-her-pioneering-surgery/"> more... </a--></span> <span class="newstime">Posted November 20, 2019</span> </li> <li class="last"> <a href="https://marcibowers.com/blog/las-vegas-transgender-community-faces-barriers-to-health-care/"> <span class="newstitle">Las Vegas&#8217; transgender community faces barriers to health care</span> </a> <span class="newscontent"> Dr. Bowers works hard to minimize healthcare barriers for her patients.&hellip; <!--a href="https://marcibowers.com/blog/las-vegas-transgender-community-faces-barriers-to-health-care/"> more... </a--></span> <span class="newstime">Posted November 4, 2019</span> </li> </ul> </div></aside> </div><!-- .widget-area --> </div><!-- .sidebar-inner --> </div><!-- #tertiary --> </div> </aside> </div> <footer class="footer-main"> <div class="column-box clearfix"> <div class="column span-3"> <span>Copyright &copy;2025 Marci L. 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