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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: CareAllies
Medical Policy Title: Treatment of Gender Dysphoria
Medical Policy Title: Gender Reassignment Services
Policy Issued By: CareSource
Medical Policy Title: Gender Dysphoria
Policy Issued By: Cigna
Medical Policy Title: Histrelin acetate subcutaneous implant
Policy Issued By: Cigna
Medical Policy Title: Treatment of Gender Dysphoria
Medical Policy Title: Sex Reassignment Surgery
Policy Issued By: ConnectiCare
Medical Policy Title: Gender Reassignment Surgery
Medical Policy Title: Sex Reassignment Surgery
Medical Policy Title: Testosterone Injectable
Medical Policy Title: Gender Reassignment Surgery
Policy Issued By: Fallon Health
Medical Policy Title: Transgender Services
Policy Issued By: GEHA
Medical Policy Title: Gender Reassignment Surgery
Policy Issued By: Group Health Cooperative
Medical Policy Title: Transgender Services Program
Policy Issued By: Harvard Pilgrim Health Care
Medical Policy Title: Transgender Health Services
Medical Policy Title: Gender Identity Services
Policy Issued By: Health Net
Medical Policy Title: Gender Reassignment Surgery