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Medi-Cal Covers Gender-Transition Treatment, but Getting It Isn't Easy

Medi-Cal Covers Gender-Transition Treatment, but Getting It Isn't Easy
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Medi-Cal Covers Gender-Transition Treatment, But Getting It Isn't Easy

California law requires Medi-Cal and all other state-regulated health plans to cover gender-affirming care that is deemed medically necessary. But therein lies the rub.

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Medi-Cal covers gender-transition treatment, but getting it isn't easy

From an early age, Pasha Wrangell felt different. Societal expectations of boys, and many characteristics of masculinity, did not match how Wrangell felt inside.

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Medi-Cal Covers Gender-Transition Treatment, but Getting It Isn't Easy

Pasha Wrangell has faced delays getting gender-affirming care because of red tape and limited providers. Over more than two years, Wrangell has received only about half the total electrolysis sessions recommended. Wrangell’s insurer through Medi-Cal, California’s Medicaid program, acknowledges the shortage of practitioners.

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Medi-Cal covers gender-transition treatment, but getting it isn't easy – Santa Cruz Sentinel

Santa Cruz resident Pasha Wrangell was assigned male at birth but uses the pronouns they and them. Wrangell, an enrollee of the Central California Alliance for Health, the only Medi-Cal health plan in Santa Cruz, said it has been laborious to get the care they need.

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Medi-Cal Covers Gender-Transition Treatment, but Getting It Isn't Easy

Pasha Wrangell has faced delays getting gender-affirming care because of red tape and limited providers. Over more than two years, Wrangell has received only about half the total electrolysis sessions recommended. Wrangell’s insurer through Medi-Cal, California’s Medicaid program, acknowledges the shortage of practitioners.

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Food as medicine? It's not as simple as it sounds

In the US doctors can now prescribe meals for some patients. While the potential benefits are great, the system is far from perfect.

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