FFS is generally considered 'cosmetic' and not a medical necessity and, therefore, excluded from insurance coverage.

Does Medi-Cal cover HRT?

Medi-Cal covers some transition-related care, as well as the full range of gender-specific care (e.g., mammograms, pap smears). Cross-gender hormone replacement therapy is a covered benefit, as are some forms of gender reassignment surgery. Surgical treatment options are approved on a case-by-case basis.

What states cover facial feminization surgery?

(California, New York, Connecticut, the District of Columbia, Massachusetts, and Washington are the only states whose public Medicaid programs cover FFS.)