![]() You live in a gender role that matches your gender identity for a minimum of 12 months before surgery.Hormone therapy is not required for mastectomy or reduction mammoplasty (chest masculinization). 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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