Puerto Rico Medicaid policy excludes transgender-related health care.
Hormones are covered, but surgery is excluded.
Drugs and hormones that are part of the ASES drug formulary are available for gender dysphoria treatments. See Michael Lavers, Puerto Rico Medicaid program now covers transition-related health care, Washington Blade (Oct. 15, 2020).
The Government Health Insurance Plan (MI Salud) excludes "Procedures for sex changes, including hospitalizations and complications."
Updated on Oct 16, 2020