Since coming out as transgender in 2015, Lillian Maisfehlt has spent $10,000 on electrolysis and had voice and hormone therapy and breast construction. She also spent 10 days in Pennsylvania recovering from vaginoplasty, an operation that few surgeons perform for transgender women in Connecticut. Maisfehlt, 47, of Chester, said the pain, cost and occasional fights with her insurance company for reimbursement have been worth it. “Each step has made me feel a little bit more like myself,’’ Maisfehlt, a librarian at Gateway Community College in New Haven, said. “I’m Lillian.
Over a dozen of the cooperative health insurers that started under the Affordable Care Act (ACA) have failed, but leaders of Connecticut’s co-op say it is on track to turn a profit next year. “We’re very viable,” said Ken Lalime, CEO of Wallingford-based HealthyCT, a member-run, nonprofit health insurance co-op. “There are a lot of stable pieces of” HealthyCT. The co-op is enduring when others have died off, he said, by strategically adapting to changes in the ACA, and diversifying its portfolio. About a third of its business is insuring individuals, a third is small group policies and a third is large group insurance policies, he said.