Hormone therapy is not required if there is medical reason why you cannot take it. You have been on gender-affirming hormone therapy for a minimum of 12 months before surgery. ![]() Prior authorization is required for these services. Apple Health only authorizes and pays for medically necessary services. Gender-affirming treatments must be provided by a provider who is enrolled in Apple Health. If you have questions about this coverage, email Requirements Other gender-affirming treatments are covered directly by Apple Health using your ProviderOne services card, and not by your managed care plan. Contact your plan to request a list of providers. If you are enrolled in a managed care plan these services will be covered through your plan. ![]() Primary care, behavioral health services, and hormone therapy, including puberty blockers, are covered under Apple Health. ![]() Apple Health (Medicaid) Transhealth program
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