I had my weekly therapy session today and she confirmed that she had faxed the needed letter to my surgeon to authorize my top surgery - yay!  In this case insurance doesn't actually require it, but the surgeon does - needed a letter from a therapist confirming gender dysphoria. I called and confirmed that they got it, and they did - tomorrow they'll be contacting the insurance company to start the pre-authorization process.

It isn't happening until August, but I still was happy to see it moving forward