snel hest

Came across some interesting phrasings, thought some about them, would reiterate conclusions to myself. Politically and socially (which is politically) I seek the abolishment of sex as a separating factor. At the same time, it remains for some reason that on an emotional level, I cannot help but recognize and construct gender around sex, and to be affected by my own placement in the resulting scheme. So it remains that my proper gendering – empty of stereotype or not as I may choose to make it from moment to moment – is the one way I know can reliably improve things for me.

The exact steps I take to do so in body and thought and network and nexus and society as a whole depend on what is available. At this point in time and space I am privileged. Given how we move this world, and given what is there for me to access, there is quite a lot I can do to take this path of transition, and so I take those steps. If they are complex (e.g. public discourse being made to recognize also self-identified gender, medical intervention, and so forth), it is because that which is available to me as tools for transitioning is complex; this complexity is no weakness of my transition path. Who am I to stare a gift horse in the mouth, after all?

So for said gift horse, the way my medical insurance works is that doctors send me bills. I send them on to the weird clearing house that handles the insurance and they pay it. Alternately I send on receipts and get reimbursed. I think they don’t cover any cosmetic treatments as a rule, which is one reason I needed a diagnosis sooner rather than later, to be able to point to medical necessity. As I wrote earlier, I decided not to wait but to pay for facial laser myself. So when I went for that treatment, which was at the same time as my mole removal surgery, I asked they make separate bills so I could pass only the one on.

Now as it turns out, they just sent a big summary bill with various items listed. This seemed an issue as it might bounce at the clearing house. But at the same time, it lists briefly some weird statements on hypertrichosis and ingrown hairs, implying this was why laser was done. So that gets odd too.

In the end now I just sent the thing on to the clearing house. In the worst case they will get back to me and ask I pay the laser parts separately. In the best case, they regard those statements as proof of medical necessity and just pay it. We’ll see how it goes. In the latter case, it would end up countering the issue of the time it takes to diagnose, and then perhaps diagnosis is done (inshallah) by the time I want to start hormones.

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