"Medicare can no longer automatically deny coverage requests for sex reassignment surgeries, a federal board ruled Friday in a groundbreaking decision that recognizes the procedures are medically necessary for people who don’t identify with their biological sex.
Ruling in favor of a 74-year-old transgender Army veteran whose request to have Medicare pay for her genital reconstruction was denied two years ago, the agency’s Departmental Appeals Board said there was no justification for a three-decade-old HHS rule excluding such surgeries from procedures covered by the national health program for the elderly and disabled."
http://abcnews.go.com/US/wireStory/medicare-coverage-ban-sex-change-surgery-lifted-23930665
Finally, grandma and grandpa can get the coverage they need to surgically alter or remove their 65-year and older genitals.