Insurance companies require an assignment of gender at the initial acquisition of an insurance plan for known coverage. If you or your child’s gender identity does not match what is on file with insurance, they may reject coverage of services. For that reason alone, we must keep the gender assigned at birth, or gender assigned upon acquisition of insurance the same for submitting claims only. Your medical chart reflects you, and will honor your gender identity.
“WPATH standards of care are the guidelines that most large organizations follow. In fact, they are the only formal care guidelines that are widely accepted by the medical and insurance communities. WPATH updates its surgery and treatment guidelines every five to 10 years. In general, these standards of care have become less restrictive over time. This reflects the growing recognition of gender diversity in society.” (https://www.verywellhealth.com/insurance-requirements-for-gender-confirmation-surgery-4136743)