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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: HMSA
Medical Policy Title: Gender Identity Services
Policy Issued By: Humana
Medical Policy Title: Gender Reassignment Surgery
Policy Issued By: Independence Blue Cross
Medical Policy Title: Treatment of Gender Dysphoria
Medical Policy Title: Gender Dysphoria
Policy Issued By: Johna Hopkins Healthcare
Medical Policy Title: Gender Reassignment Procedures
Policy Issued By: Kaiser Permanente
Medical Policy Title: Transgender Care (not a medical policy)
Medical Policy Title: Transgender Surgery
Policy Issued By: LifeWise
Medical Policy Title: Gender Reassignment Surgery
Policy Issued By: Medica
Medical Policy Title: Adult Gender Reassignment Surgery
Policy Issued By: Medical Mutual
Medical Policy Title: Gender Dysphoria Treatment
Policy Issued By: Medical Mutual
Medical Policy Title: Leuprolide long-acting
Policy Issued By: Medical Mutual
Medical Policy Title: Testosterone Injection and Pellet
Policy Issued By: Meridian Health Plan
Medical Policy Title: Gender Reassignment Surgery
Policy Issued By: Moda Health Plan
Medical Policy Title: Gender Reassignment
Policy Issued By: Molina Healthcare
Medical Policy Title: Gender Dysphoria Treatment
Policy Issued By: Neighborhood Health Plan
Medical Policy Title: Gender Reassignment Surgery
Policy Issued By: Neighborhood Health Plan
Medical Policy Title: Breast Surgeries
Policy Issued By: Network Health
Medical Policy Title: Transgender and Gender Dysphoria Services
Policy Issued By: Oscar
Medical Policy Title: Sex Reassignment Surgery (Gender Affirmation Surgery)