Previous studies indicate that transgender people face barriers to accessing quality, affordable healthcare. These barriers include lack of adequate insurance coverage, mistreatment by health providers, and health providers’ discomfort or inexperience with treating transgender people. Such barriers make it harder for transgender people to seek both routine healthcare that is unrelated to their transgender status, and healthcare related to gender transition (“transition-related care”). Transition-related care can include a variety of treatments, such as counseling, hormone therapy, and surgical procedures. While not every transgender person may need or want medical care related to gender transition, many do, and the special treatments that they may undergo vary based on their individualized needs.

Doctors, insurance, and transgender patient experiences

  • 23% — did not see a doctor last year for fear of mistreatment
  • 33% — did not see a doctor because of cost
  • 33% — reported at least 1 negative experience
  • 24% — had to teach their provider about appropriate care
  • 15% — asked invasive or unnecessary questions
  • 8% — refused care

Physician awareness and transgender Hormone Replacement/Cross Sex Hormone Therapy needs

  • 40% — all providers know the person is transgender
  • 12% — most providers know the person is transgender
  • 17% — some providers know the person is transgender
  • 31% — no provider knows the person is transgender
  • 78% — want hormone replacement therapy related to their gender transition with only 49% ever receiving it
physician listens to patient in office