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Transgender Insurance Medical Policies


Virtually all major insurance companies recognize that transgender-related medical care is medically necessary and have a written policy describing their criteria for when plans they administer will cover it. Below is a list of such policies.

The fact that an insurance company is listed below does not mean that your particular plan will follow these guidelines. You must look to your individual policy to determine if transgender care is covered or excluded. Only if it is covered will the policies below apply.

Policy Issued By: Aetna
Medical Policy Title: Gonadotropin-Releasing Hormone Analogs and Antagonists
Policy Issued By: Aetna
Medical Policy Title: Gender Reassignment Surgery
Policy Issued By: Amerigroup
Medical Policy Title: Sex Reassignment Surgery
Policy Issued By: Amerigroup
Medical Policy Title: Subcutaneous Hormone Replacement Implants
Policy Issued By: AmeriHealth
Medical Policy Title: Treatment of Gender Dysphoria
Policy Issued By: Anthem
Medical Policy Title: Gonadotropin Releasing Hormone Analogs (GnRH)
Medical Policy Title: Sex Reassignment Surgery
Policy Issued By: Arkansas
Medical Policy Title: Gender Reassignment Surgery for Gender Dysphoria
Policy Issued By: Aspirus Arise
Medical Policy Title: Treatment of Gender Dysphoria
Policy Issued By: Asuris
Medical Policy Title: Transgender Services
Policy Issued By: AvMed
Medical Policy Title: Gender Reassignment Surgery
Policy Issued By: Banner Plan Administration
Medical Policy Title: Treatment of Gender Dysphoria
Medical Policy Title: Androgens
Medical Policy Title: Sex Reassignment Surgery
Medical Policy Title: Sex Reassignment Surgery