Trans Resource Navigator

Gender-affirming care in Delaware

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  • Page changed: Delaware Medicaid Eligibility (2026-10-05) · #121
Care for adults
Allowed
Care for people under 18
Allowed
Delaware Medicaid (Diamond State Health Plan) pays for hormones
Covered
Delaware Medicaid (Diamond State Health Plan) pays for surgery
Covered
Private plans must cover care
Yes, by law

Gender-affirming care is legal in Delaware for adults and minors. State-regulated insurance may not exclude it, and a 2025 executive order bars state agencies from helping other states punish patients or providers. Starting October 13, 2026, a federal rule stops Medicaid and CHIP from paying for certain gender-affirming care for minors.

Draft from official sources, September 24, 2026. Not yet checked by a person. How we verify

On this page
  1. Health centers near you
  2. Hormones by telehealth
  3. Clinics, programs, and funds
  4. Paying for care
  5. Rules for adults
  6. Rules for under 18
  7. Laws and court cases
  8. Sources

Community health centers near you

These federally funded centers must see you whether or not you have insurance, and charge based on income. Many, but not all, prescribe hormone therapy. Call and ask for "gender-affirming care" or "hormone therapy."

Sorting by distance uses your location only on this device. It is never sent anywhere.

Hormones by telehealth

These services prescribe hormones through video visits for people in this state. Point of Pride pays for a year and a half of care with several of them each spring.

  • Plume

    PaidNo Medicaid18+

    Trans-led telehealth service providing informed-consent hormone therapy, lab orders, prescriptions, and letters for surgery and documents, by app and video visit. Self-pay only since January 2026. A Point of Pride HRT Access Fund partner.

    About $99 per month ($90 in NY and NJ), which includes visits, messaging, prescriptions, and document letters. Labs and medications are billed separately and are often cheap with GoodRx or at a community pharmacy. Free for 18 months if you win a Point of Pride HRT Access Fund grant.

  • FOLX Health

    InsuranceTakes insuranceNo Medicaid18+

    LGBTQ-focused telehealth offering hormone therapy, PrEP, primary care, and mental health visits. Accepts major commercial insurance (Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare) but not Medicaid or Medicare. A Point of Pride HRT Access Fund partner.

    In-network with many commercial plans; self-pay membership about $69 to $98 per month all-inclusive.

  • Planned Parenthood

    Sliding scaleTakes insurance

    Many Planned Parenthood affiliates provide informed-consent gender-affirming hormone therapy alongside sexual and reproductive health care, on a sliding scale and with Medicaid. Most affiliates see adults 18 and older; a few see 16- and 17-year-olds with parental consent and a readiness letter. Many start hormone care by telehealth. Self-pay initial consults typically run about $120 to $250 before sliding-scale discounts.

Clinics, programs, and funds

  • Planned Parenthood of Delaware[7][8]

    Feminizing and masculinizing hormone therapy for adults 18 and older, plus self-injection training. Centers in Wilmington, Newark, Dover, and Seaford; in-person and telehealth. Also publishes a Delaware legal transition guide (updated 2025).

    • Sliding scale
    • Telehealth

    Serves: Statewide

    1-800-230-7526

  • Westside Family Healthcare[9]

    Federally qualified community health center with medical, behavioral health, and women's health care for adults, children, and families regardless of insurance or ability to pay. Several locations in New Castle and Kent counties plus telehealth. Its website does not mention gender-affirming care; ask when you call.

    • Sliding scale
    • Telehealth
    • Accepts Medicaid
    • Sees uninsured patients
    302-224-6800

  • ChristianaCare Holloway Community Program[10]

    HIV care, PrEP (including long-acting injectable PrEP), PEP, STI treatment, internal medicine, and mental health, with offices in Wilmington, Smyrna, and Milford.

    • Insurance
    302-320-1300

  • Delaware HIV Consortium[11]

    Free HIV testing (including at-home test kits), PrEP navigation, safer sex supplies, and case management for people living with HIV.

    • Free

  • CAMP Rehoboth Community Center[12]

    LGBTQ+ community center in Rehoboth Beach with a Beebe Health suite, HIV testing and PrEP/PEP resources (CAMPsafe), and a youth program.

    • Free
    302-227-562037 Baltimore Avenue, Rehoboth Beach, DE 19971

  • HRSA Find a Health Center[13]

    Federal search tool for community health centers that charge on a sliding scale by income, regardless of insurance.

    • Sliding scale
    • Sees uninsured patients

  • Point of Pride funds[14]

    National funds for people who cannot afford care, including the HRT Access Fund (telehealth hormone therapy; applications each May) and the Annual Trans Surgery Fund.

    • Free

  • Trans Health Project (Advocates for Trans Equality)[15]

    Free templates and guides for appealing insurance denials of gender-affirming care, including employer self-funded plans.

    • Free

Paying for care

Medicaid (Delaware Medicaid (Diamond State Health Plan))[5][2][6]

Delaware Medicaid is scored by the Movement Advancement Project as having a policy that explicitly covers transgender-related care; we could not load a state Medicaid page confirming exactly which services are covered, so ask your managed care plan for its gender-affirming care policy and prior-authorization rules before scheduling surgery.

Minors: from October 13, 2026, a federal rule prohibits federal Medicaid and CHIP funding for certain gender-affirming care for people under 18. DHSS says it will comply and send notices to affected members and providers.

Apply online through ASSIST or at a State Service Center.

Apply for coverage

Private insurance[3][4][15]

Delaware's Gender Identity Nondiscrimination Act of 2013 made it an unfair insurance practice to discriminate based on gender identity (18 Del. C. § 2304(22)). The Department of Insurance's Bulletin No. 86 (2016, reissued 2020) says state-regulated insurers may not deny, limit, or exclude coverage because of gender identity, transgender status, or gender transition. If your plan denies care, appeal with the plan first, then file a complaint or appeal with the Department of Insurance. Self-funded employer plans are federally regulated and may not be covered; the Trans Health Project has appeal templates for those.

File an insurance complaint

The rules in detail

Rules for adultsNo state restriction on adult care.

No state restriction on adult care. Planned Parenthood of Delaware prescribes feminizing and masculinizing hormones to patients 18 and older at its centers in Wilmington, Newark, Dover, and Seaford, and telehealth providers (Plume, FOLX) serve Delaware.

If you have no insurance and little money, in rough order:

  1. Apply for Delaware Medicaid through ASSIST. It is free for adults with low incomes.
  2. Go to a community health center (FQHC) such as Westside Family Healthcare; they charge on a sliding scale. Ask whether the clinic prescribes hormones or can refer you. Find one at findahealthcenter.hrsa.gov.
  3. Planned Parenthood of Delaware (1-800-230-7526) for hormone therapy, ages 18+.
  4. Point of Pride's HRT Access Fund pays for up to 18 months of telehealth hormone care (applications each May).
[7][8][13][14][6]
Rules for under 18Legal. Delaware has no law banning gender-affirming care for minors, and Executive Order 11 (June 20, 2025) directs state agencies not to share…

Legal. Delaware has no law banning gender-affirming care for minors, and Executive Order 11 (June 20, 2025) directs state agencies not to share records or help with out-of-state investigations, refuses extradition for care lawful in Delaware, and bars state licensing boards from disciplining providers for it. Care for minors requires parental consent. Planned Parenthood of Delaware sees hormone patients from age 18 only.

Medicaid change on October 13, 2026: DHSS says a new federal CMS rule prohibits federal Medicaid and CHIP funding for certain gender-affirming care for minors, and Delaware must comply. People and providers affected will receive a notice. Private insurance is not affected by that rule.

[1][2][7]
Laws and court cases2 laws

Sources

15 sources. Numbers in the text, like [1], point here.Show all
  1. Executive Order Number Eleven, Protecting Gender-Affirming Care in DelawareOffice of the Governor of Delaware, Official page. accessed
    “No state professional regulations board may bar or discipline a healthcare professional solely on the basis of the healthcare professional providing ... gender-affirming care that is or would otherwise be lawful in Delaware.”
  2. Federal Funding Changes for Gender-Affirming CareDelaware Health and Social Services, Official page. accessed
    “a new rule that prohibits the use of federal Medicaid and Children's Health Insurance Program (CHIP) funding for certain gender-affirming care services for minors. The rule takes effect October 13, 2026.”
  3. Domestic/Foreign Insurers Bulletin No. 86 (revised and reissued), The Gender Identity Nondiscrimination Act of 2013Delaware Department of Insurance, Official page. accessed
    “they unequivocally prohibit the denial, cancellation, termination, limitation, refusal to issue or renew, or restriction, of insurance coverage or benefits thereunder on the basis of a person's gender identity or transgender status, or because the person is undergoing gender transition”
  4. File a Complaint/AppealDelaware Department of Insurance, Official page. accessed
  5. Delaware equality profileMovement Advancement Project, Organization. accessed
    “State Medicaid Policy Related to Coverage for Transgender People 1/1”
  6. Delaware Medicaid EligibilityDivision of Medicaid and Medical Assistance, Official page. accessed
  7. Gender-Affirming Care and Hormone TherapyPlanned Parenthood of Delaware, Organization. accessed
    “In order to receive gender-affirming hormone therapy services with Planned Parenthood of Delaware you need to be over 18 and capable of providing consent for services.”
  8. Planned Parenthood health centers in DelawarePlanned Parenthood, Organization. accessed
  9. Westside Family HealthcareOrganization. accessed
  10. HIV/AIDS Care, Holloway Community ProgramChristianaCare, Organization. accessed
  11. Delaware HIV ConsortiumOrganization. accessed
  12. CAMP Rehoboth Community CenterOrganization. accessed
  13. Find a Health CenterHealth Resources and Services Administration, Official page. accessed
  14. Point of PrideOrganization. accessed
  15. Trans Health ProjectAdvocates for Trans Equality, Organization. accessed