{"id":354793,"date":"2023-08-29T15:07:29","date_gmt":"2023-08-29T20:07:29","guid":{"rendered":"https:\/\/content.findlaw-admin.com\/ability-law\/lgbtq-law\/do-insurance-companies-and-medicaid-cover-gender-affirming-care.html"},"modified":"2026-06-04T15:43:00","modified_gmt":"2026-06-04T20:43:00","slug":"do-insurance-companies-and-medicaid-cover-gender-affirming-care","status":"publish","type":"page","link":"https:\/\/www.findlaw.com\/lgbtq-law\/do-insurance-companies-and-medicaid-cover-gender-affirming-care.html","title":{"rendered":"Do Insurance Companies and Medicaid Cover Gender-Affirming Care?"},"content":{"rendered":"\n
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Do Insurance Companies and Medicaid Cover Gender-Affirming Care?<\/h1>\n\n
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\n By Laura Temme, Esq.<\/a> | Legally reviewed by Balrina Ahluwalia, Esq.<\/a>\n | Last updated\n
\n \n <\/i>\n Legally Reviewed\n <\/summary>\n\n
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This article has been written and reviewed for legal accuracy, clarity, and style by FindLaw\u2019s team of legal writers and attorneys<\/a> and in accordance with our editorial standards<\/a>.<\/em><\/p>\n\n <\/div>\n <\/details>\n\n

\n \n <\/i>\n Fact-Checked\n <\/summary>\n\n
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The last updated date refers to the last time this article was reviewed by FindLaw or one of our contributing authors<\/a>. We make every effort to keep our articles updated. For information regarding a specific legal issue affecting you, please contact an attorney in your area<\/a>.<\/em><\/p>\n\n <\/div>\n <\/details>\n<\/section>\n\n\n

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Key Takeaways<\/h2>\n

Insurance companies and Medicaid coverage for gender-affirming care vary significantly by state. While some states mandate coverage under Medicaid and private insurance, others may not offer any coverage. Federal policies, such as Section 1557 of the Affordable Care Act, aim to prevent discrimination based on gender identity in healthcare. Medicare covers medically necessary gender-affirming surgeries on a case-by-case basis and hormone therapy under Part D with prior authorization.<\/p>\n\n <\/div>\n <\/div>\n<\/div>\n\n\n

Gender-affirming care includes several types of health care services. These services are used for the treatment of gender dysphoria<\/a> (previously known as gender identity disorder). A transgender individual or someone who is gender nonconforming might seek out:<\/p>\n