Now that Medicare is covering sex-reassignment surgery, transgender advocates have set their sights on getting all insurers to include the controversial medical procedure in their health plans, Politico reported. Medicare's decision in May already cleared the way for coverage by health plans for federal employees and led to requirements for many plans in Massachusetts and Washington state. And in California, Vermont, Colorado, Connecticut and the District of Columbia, insurers must pay for gender reassignment surgeries deemed medically necessary. However, the line between what is medically necessary and what is a cosmetic procedure can blur for health insurers. Article