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Aetna expands gender-affirming surgery coverage Aetna will now cover breast augmentation for trans women, signaling hope for increased access to healthcare for the transgender community. The coverage expansion comes after transgender individuals and groups advocated for the change. Shares1 Aetna has expanded its coverage of gender-affirming surgery to include breast augmentation for certain trans women. Though the payer covers some gender-affirming surgeries, such as breast removal for trans men, it previously did not extend the coverage to breast augmentation for trans women. Through the Transgender Legal Defense & Education Fund and Cohen Milstein, four trans women brought the issue to Aetna’s attention after being denied coverage for breast augmentation. ....