Blue Cross Blue Shield of Georgia

Policy Number
Policy Issued In
Last Update
Youth Services
  1. GnRH analogs are considered medically necessary for adolescents with gender dysphoria when all of the following criteria are met: 
    1. Fulfills the DSM V criteria for gender dysphoria; and 
    2. Has experienced puberty to at least Tanner stage 2; and 
    3. Has (early) pubertal changes that have resulted in an increase of their gender dysphoria; and 
    4. Does not suffer from a psychiatric comorbidity that interferes with the diagnostic work-up or treatment; and 
    5. Has psychological and social support during treatment; and 
    6. Demonstrates knowledge and understanding of the expected outcomes of GnRH analog treatment.