The information on this page is for regular employees. If you’re a SelectTime or Seasonal employee, visit the Benefits site for you.

Gender-affirming benefits

We want you and your family members to feel valued, supported and celebrated for exactly who you are. That’s why our medical plans cover a wide range of gender-affirming services.

Cigna and UnitedHealthcare

Check with your medical plan for specific coverage details. When you call your medical plan provider, you can request to speak with a designated gender-affirming customer service representative. 

Learn more about Cigna gender-affirming benefits, support, and resources and UHC gender-affirming and non-binary health resources.

These medically necessary services are covered under the Cigna and UnitedHealthcare plans:

  • Behavioral health services, including counseling for gender dysphoria and related psychiatric conditions (e.g., anxiety, depression)
  • Hormonal therapy, including androgens, anti-androgens, GnRH analogues, estrogens and progestins
  • Laboratory testing to monitor prescribed hormonal therapy
  • Age-related, gender-specific services, including preventive health (e.g., cancer screening, treatment of a prostate medical condition)
  • Gender reassignment and related surgery, including all procedures recommended by the World Professional Association for Transgender Health (WPATH):
    • Blepharoplasty
    • Rhinoplasty
    • Voice therapy/voice lessons
    • Breast augmentation
    • Electrolysis
    • Facelift
    • Facial bone reduction
    • Insertion of testicular prosthesis
    • Pectoral implants
    • Lipoplasty/lipofilling/liposuction
    • Thyroid reduction chondroplasty
    • Voice modification surgery

In addition, certain medical services may be eligible for travel and lodging benefits if there is no in-network provider available within 60 miles (Cigna plans) or 50 miles (UHC plans) of your home.


These general care services are covered under the Kaiser plan:

  • Office visits
  • Mental health visits
  • Lab and imaging services
  • Hormone therapy visits and administration
  • Pharmacy services
  • Gender-affirming lower-body surgeries
  • Mastectomy with chest reconstruction
  • Pre- and post-operative exams
  • Inpatient hospital care
  • Outpatient care
  • Treatment for medical complications
  • Travel and lodging (when referred by Kaiser to a facility outside your service area; not covered in Washington)

Learn more about Kaiser gender-affirming care.

These specific surgical services are covered under the Kaiser plan:

  • Hysterectomy
  • Metoidioplasty
  • Phalloplasty
  • Vaginectomy
  • Scrotoplasty
  • Erectile prosthesis
  • Gonadal surgery
  • Vaginoplasty
  • Clitoroplasty
  • Labiaplasty
  • Orchiectomy
  • Urethral extension
  • Nipple/areolar reconstruction
  • Tracheal shave
  • Facial hair removal (in California, if the procedure meets the Evidence of Coverage definition of reconstructive surgery)

Where to get help

Plan/Group Number #3331771
Phone Pre-member 888-806-5042
Member 800-244-6224
Pre-member website
Member website

UHC Network Plan
Plan/Group Number #711734
Phone 833-993-0861
(pre-member and member)
Pre-member website
Member website

Kaiser Northern California
Plan/Group Number: 34125
Visit website

Kaiser Southern California
Plan/Group Number: 128242
Visit website

Kaiser Georgia
Plan/Group Number: 10646
Visit website

Kaiser Hawaii
Plan/Group Number: 10763
Visit website


Cigna gender-affirming benefits, support, and resources
UHC gender-affirming and non-binary health resources
Kaiser gender-affirming care