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The company said it would not cover the mammogram because Scott did not develop breasts until after she changed sexes.
Scott, with the help of the legal defense fund, argued the mammogram had nothing to do with her changing her sex characteristics. Aetna eventually reversed its decision and agreed to pay the full cost of the procedure.
The defense fund said Aetna also agreed to chance its plan to guarantee transgendered people receive coverage for sex-specific care.