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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: 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)
Policy Issued By: Oxford
Medical Policy Title: Gender Dysphoria Treatment
Policy Issued By: Oxford
Medical Policy Title: Gonadotropin Releasing Hormone Analogs
Policy Issued By: Premera Blue Cross
Medical Policy Title: Gender Reassignment Surgery
Medical Policy Title: Gender Reassignment
Medical Policy Title: Gender dysphoria
Policy Issued By: Priority Health
Medical Policy Title: Gender Reassignment Surgery
Policy Issued By: PriorityHealth
Medical Policy Title: Gender Reassignment Surgery
Policy Issued By: QualCare
Medical Policy Title: Gender Reassignment Surgery
Policy Issued By: Regence
Medical Policy Title: Transgender Services
Policy Issued By: Regence
Medical Policy Title: Transgender Services
Policy Issued By: UniCare
Medical Policy Title: Sex Reassignment Surgery
Policy Issued By: UnitedHealthcare
Medical Policy Title: Gonadotropin Releasing Hormone Analogs