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LGBT Health. 2017 Aug;4(4):244-247. doi: 10.1089/lgbt.2016.0099. Epub 2017 Jul 14.

Coverage for Gender-Affirming Care: Making Health Insurance Work for Transgender Americans.

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1 Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University , Baltimore, Maryland.
2 LGBT Research and Communications Project, Center for American Progress , Washington, District of Columbia.


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.


LGBT; cost-effectiveness; health insurance; transgender

[Indexed for MEDLINE]

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