Coverage for gender-affirming care: Making health insurance work for transgender Americans

William Padula, Kellan Baker

Research output: Contribution to journalReview article


Many transgender Americans continue to remain uninsured or are underinsured because of payers' refusal to cover medically necessary, gender-affirming healthcare services - such as hormone therapy, mental health counseling, and reconstructive surgeries. Coverage refusal results in higher costs and poor health outcomes among transgender people who cannot access gender-affirming care. Research into the value of health insurance coverage for gender-affirming care for transgender individuals shows that the health benefits far outweigh the costs of insuring transition procedures. Although the Affordable Care Act explicitly protects health insurance for transgender individuals, these laws are being threatened; therefore, this article reviews their importance to transgender-inclusive healthcare coverage.

Original languageEnglish (US)
Pages (from-to)244-247
Number of pages4
JournalLGBT Health
Issue number4
Publication statusPublished - Aug 1 2017



  • cost-effectiveness
  • health insurance
  • LGBT
  • transgender

ASJC Scopus subject areas

  • Dermatology
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Urology

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