Trans Resource Navigator

Gender-affirming care in Guam

Care for adults
Allowed
Care for people under 18
Allowed
Guam Medicaid (DPHSS); Medically Indigent Program (MIP) pays for hormones
Unclear
Guam Medicaid (DPHSS); Medically Indigent Program (MIP) pays for surgery
Unclear
Private plans must cover care
No state rule

Gender-affirming care is legal in Guam for adults and minors. No territorial law bans it, but none protects it. It is unclear whether Guam Medicaid or the Medically Indigent Program pays for hormones or surgery, no local informed-consent clinic is known, and the main U.S. telehealth services do not serve Guam. Most people work with a local primary care doctor or travel off-island.

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. Clinics, programs, and funds
  3. Paying for care
  4. Rules for adults
  5. Rules for under 18
  6. 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.

Clinics, programs, and funds

Paying for care

Medicaid (Guam Medicaid (DPHSS); Medically Indigent Program (MIP))[4][5][1]

DPHSS runs Guam's Medicaid program and the locally funded Medically Indigent Program (MIP) for low-income residents who do not qualify for Medicaid. Neither program publishes a policy on gender-affirming care, either covering or excluding it. Ask for a written coverage decision, and appeal if you are denied.

Apply for coverage

Private insurance[1]

Guam has no law barring insurers from excluding gender-affirming care. Read your plan's exclusions list. Federal employees and military families on Guam have coverage set by their federal plans.

The rules in detail

Rules for adultsNo Guam law restricts care for adults.

No Guam law restricts care for adults. Access is the main barrier: we could not verify any clinic in Guam that advertises informed-consent hormone therapy.

What to try:

  1. Ask a primary care doctor or a community health center to prescribe or continue hormones. Bring your records if you started care elsewhere. Some doctors will follow published guidelines (WPATH, Endocrine Society) if you ask directly.
  2. The DPHSS public health clinics offer general medical care and can refer you. Find federally funded community health centers with the HRSA finder.
  3. Apply to national funds (Point of Pride, Genderbands) for help with costs. Check whether they accept Guam residents.
  4. If you travel to Hawaii or the mainland, telehealth services licensed there may be able to see you only while you are physically in a state they serve.
[1][2][6][7]
Rules for under 18No Guam law bans gender-affirming care for minors, and Guam has no shield law.

No Guam law bans gender-affirming care for minors, and Guam has no shield law. Care for minors requires parental consent, and local pediatric specialists may be very limited.

[1]

Sources

10 sources. Numbers in the text, like [1], point here.Show all
  1. Guam equality profileMovement Advancement Project, Organization. accessed
    “Negative Law: Laws Banning Best Practice Medical Care For Transgender Youth: No Negative Law”
  2. ClinicsGuam Department of Public Health and Social Services, Official page. accessed
  3. STD/HIV/Viral Hepatitis (SHVH) ProgramGuam Department of Public Health and Social Services, Official page. accessed
  4. Medicare/MedicaidGuam Department of Public Health and Social Services, Official page. accessed
  5. MIP, Medically Indigent ProgramGuam Department of Public Health and Social Services, Official page. accessed
    “The Medically Indigent Program (MIP) helps eligible individuals access necessary healthcare services when financial resources are limited.”
  6. Find a Health CenterHealth Resources and Services Administration, Official page. accessed
  7. Where is Plume Available?Plume Clinic, Organization. accessed
    “The state selector lists U.S. states and Washington D.C.; no U.S. territory appears.”
  8. Point of PridePoint of Pride, Organization. accessed
  9. GenderbandsGenderbands, Organization. accessed
  10. Trans LifelineTrans Lifeline, Organization. accessed