Skip to main content

Keyboard Shortcuts

Key Pair Function
Alt S Search Box
Alt T Top of Page
Alt H Home Page
Alt Index Button
Alt Next Button
Alt Prev Button
TLDEF Logo

TLDEF's Trans Health Project

Working for Transgender Equal Rights
Menu
  • Trans Health Insurance Tutorial
    • Choosing a Plan
    • Understanding Your Plan
    • Applying for Coverage
    • Understanding a Denial
    • Appealing a Denial
  • Resources
    • Health Insurance Medical Policies
    • Medical Organization Statements
    • State Health Insurance Laws and Guidance
    • Medicaid Regulations and Guidance
    • Gender Centers
    • Trans Health Care Providers
    • State Employee Health Plans
    • Financial Aid for Transgender Surgeries
  • Tools
    • Legal Analysis
    • Medical Necessity Literature Reviews
    • Reporting Medical Provider Discrimination
    • Training Materials for Advocates
    • Provider Medical Necessity Letter Checklists
  • About Us
    • About TLDEF's Trans Health Project
    • Privacy Policy
  • Contact Us
    • Contact TLDEF's Trans Health Project
    • Contact TLDEF
Previous Page
Prev
Home
Home
Up
Up
Next Page
Next
  •  Home
  • Resources
  • Health Insurance Medical Policies
  • Current: Health Insurance Medical Policies

Health Insurance Medical Policies

Medicare

Medicare must cover medically necessary transgender-related care. Some Medicare Advantage plans have more specific criteria that that insurance company applies.

Download PDF


Type in the name of the issuer you are seeking.


Blue Cross Blue Shield of Rhode Island

  • Gender Reassignment Surgery

Blue Cross and Blue Shield of Florida

  • Gender Affirmation Surgery

ConnectiCare

  • Gender Reassignment Surgery (Medicare)

Geisinger Health Plan

  • Gender Dysphoria and Gender Confirmation Treatment

Harvard Pilgrim Health Care (Stride HMO Medicare Advantage)

  • Transgender Health Services

Independence Blue Cross

  • Treatment of Gender Dysphoria (Medicare Advantage)

Kaiser Permanente Northwest Region

  • Gender-Affirming Facial Procedures Medical Necessity Criteria
  • Physical/Occupational/Speech Therapy Medical Necessity Criteria

Medicare

  • National Coverage Determination (NCD) for Gender Dysphoria and Gender Reassignment Surgery

Optimum HealthCare, Inc.

  • Testosterone

Palmetto

  • Gender Reassignment Services for Gender Dysphoria

Regence

  • Gender Affirming Interventions for Gender Dysphoria
  • Gender Affirming Interventions for Gender Dysphoria (Medicare Advantage)

UPMC Health Plan

  • Gender Affirmation Surgery

UnitedHealthcare

  • Gender Dysphoria and Gender Reassignment Surgery (NCD 140.9) (Medicare Advantage)

Visiant (Medicare Advantage Medical Policy for Premera Blue Cross)

  • Gender Reassignment Surgery

WellCare

  • Gender Reassignment Surgery

Back to top

Item count: 17

Donate Now Donate Now

Join Our Mailing List

Facebook Button Twitter Button Instagram Button
 Keyboard Shortcuts
 Privacy Policy
 TLDEF Website

Copyright © 2023 Transgender Legal Defense & Education Fund, Inc.  |  520 8th Avenue, Suite 2204, New York, NY 10018   Tel: 646.862.9396   Fax: 646.993.1684