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30 Percent of Employer Health Plans Pay for Transgender Procedures, Survey Shows

Doing so helps employers 'remain competitive in attracting and retaining talent,' expert says

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30 Percent of Employer Health Plans Pay for Transgender Procedures, Survey Shows
A health-care worker pushes a patient across a connecting bridge at a hospital in Montreal on July 14, 2022. Graham Hughes/The Canadian Press
By Jackson Elliott
6/23/2023Updated: 6/23/2023
0:00

An increasing number of American employers provide insurance benefits that will pay for sex-change procedures for employees, a new survey shows.

According to the 2022 survey of 502 U.S. employers—conducted by the International Foundation of Employee Benefits Plans (IFEBP)—gender-transition procedures covered by the insurance plans include sex-change surgeries, cross-sex hormone treatments, and cosmetic surgery.

Medical attempts at sex changes often cause urinary issues, loss of sexual pleasure and libido, permanent voice changes, pelvic bleeding and pain, the need for secondary procedures, bladder injury, blood clots, emotional issues, osteoporosis, heart problems, weight gain, diabetes, infertility, and the need for lifelong medical care, doctors and detransitioners have told The Epoch Times.

Many historic homes and businesses in the Riverside community of Jacksonville, Fla., show off exteriors bedazzled with rainbow-themed Pride Month decorations on June 18, 2023. (Nanette Holt/The Epoch Times)
Many historic homes and businesses in the Riverside community of Jacksonville, Fla., show off exteriors bedazzled with rainbow-themed Pride Month decorations on June 18, 2023. Nanette Holt/The Epoch Times

Yet, of the 30 percent of company insurance benefit plans that offer irreversible transgender procedures, 13 percent don’t cover mental health counseling before or after those surgeries, said Anne Patterson, IFEBP associate director of public relations.

The foundation didn’t collect data on whether the companies’ insurance policies would cover care for sex-change side effects, she said.

The survey also didn’t ask whether the insurance plans would cover detransition procedures for employees who change their minds and hope to reverse the sex change as much as possible.

And it didn’t have data on whether the employer-provided insurance plans cover sex-change attempts for employees’ children.

While nearly a third of company insurance plans cover transgender modifications, only 2 percent cover cosmetic surgery not related to transgender procedures, Patterson told The Epoch Times in an email interview.

“Offering gender-affirmation health care benefits is a way for employers to remain competitive in attracting and retaining talent,” said Julie Stitch, the IFEBP’s vice president of content, in a press release. “This type of offering reinforces a culture of inclusion and belonging.”

Stitch canceled a scheduled interview with The Epoch Times to speak more on the issue.

Surge in ‘Gender-Affirming’ Benefits

The IFEBP survey shows big changes in benefits trends in just six years.

In 2016, just 8 percent of employers offered health insurance plans with coverage for sex-change surgery. By 2022, that number rose to 27 percent of employers.

Allowable surgeries range from breast amputation to creating the appearance of a male appendage using harvested arm tissue.

Chloe Cole near her home in Northern California on Aug. 26, 2022. (John Fredricks/The Epoch Times)
Chloe Cole near her home in Northern California on Aug. 26, 2022. John Fredricks/The Epoch Times

In 2016, 9 percent of employer-offered plans offered cross-sex hormone coverage. By 2022, it was up to 25 percent.

Health plans for employees of corporations and governments offered transgender modifications at about the same rate.

And while 30 percent of companies confirmed to researchers they offer health insurance with sex-change coverage, they also revealed that other treatments—including potentially lifesaving procedures—were offered at far lower rates.

Only 18.3 percent said they offer critical illness or cancer coverage, and 8.3 percent offer long-term care coverage. Only 13 percent said their employee healthcare plans cover laser eye surgery 15.5 cover gene therapy, and 22.1 percent cover prescription weight-loss medications

Contraception also was found to be far more likely to be covered than fertility treatments.

Among employers that offer “transgender-inclusive benefits,” the government entities surveyed offer health care plans with the most coverage for transgender procedures.

Breast amputation surgery costs between $10,000 and $20,000. Genital sex-change surgery can cost up to $150,000 and often requires lifelong follow-up and medical care. Cross-sex hormones can cost between $30 and $100 a month.

Scott Newgent, who regrets transitioning from feminine to masculine, prepares to testify in support of a bill that would outlaw transgender procedures at the Nebraska State House on Feb. 8, 2023. (Courtesy of Scott Newgent)
Scott Newgent, who regrets transitioning from feminine to masculine, prepares to testify in support of a bill that would outlaw transgender procedures at the Nebraska State House on Feb. 8, 2023. Courtesy of Scott Newgent
Scott Newgent, a woman who underwent multiple surgeries to appear like a man, has often spoken about the many complications resulting from those surgeries.

The complications from phalloplasty—which attempts to create a male appendage—brought Newgent into “near-death experiences” multiple times, Newgent shared on TreVoices.org.

Today, the sex-change surgery industry is worth $1.9 billion. That amount will grow to $4.9 billion by 2030, industry researchers have told The Epoch Times.

And the number of transgender-identifying individuals will surge, too, researchers predict.

Currently, about 5 percent of young adults ages 18 to 29 identify as transgender, according to 2022 Pew Research Center figures.
An LGBT Pride display in a Target in East Brainerd, Tenn. on June 13, 2023. (Jackson Elliott/The Epoch Times)
An LGBT Pride display in a Target in East Brainerd, Tenn. on June 13, 2023. Jackson Elliott/The Epoch Times

Past surveys by the IFEBP show the biggest jump in transgender healthcare coverage happened between 2016 and 2018, and it has continued to increase.

Increasingly, many corporations choose to put their resources into support of transgender ideology. The pressure to do so comes from a variety of sources.

Groups such as the World Economic Forum (WEF) and the United Nations (UN) push support for transgenderism as a human rights issue.
And frequently, companies face bullying ranging from threats of boycotts to bomb threats from some LGBT activist groups if they don’t support, and even celebrate, transgenderism.
A burgeoning number of companies selling a wide range of products and services have publicly waved the LGBT flag and faced backlash for it.
But the public encouragement of transgenderism results in a self-perpetuating cycle resulting in more transgender-identifying people, psychologists have told The Epoch Times.

And providing coverage for transgender procedures makes it more likely many more people will undergo attempts to transition, experts say.

Jackson Elliott
Jackson Elliott
Author
Jackson Elliott is a former reporter for The Epoch Times.
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