Trans Resource Navigator

Gender-affirming care in Hawaii

Care for adults
Allowed
Care for people under 18
Allowed
Med-QUEST (QUEST Integration) pays for hormones
Unclear
Med-QUEST (QUEST Integration) pays for surgery
Unclear
Private plans must cover care
Yes, by law

Gender-affirming care is legal for adults and minors in Hawaii. State law bars private insurers from excluding transition care, and a 2026 shield law protects patients and providers from other states' bans. In Honolulu you can get hormones at HHHRC's clinic or Planned Parenthood, and QueerDoc, Plume, and Planned Parenthood offer telehealth. Whether Med-QUEST (Medicaid) covers transition care is not clearly stated in any published policy.

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.

  • QueerDoc

    Sliding scale

    Small telehealth practice offering informed-consent hormone therapy with transparent sliding-scale pricing. Does not bill insurance for visits, but labs and prescriptions can go through your insurance. A Point of Pride HRT Access Fund partner.

    Sliding scale by income; check the current pricing page.

  • 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

Paying for care

Medicaid (Med-QUEST (QUEST Integration))[8][1][12]

No published Med-QUEST policy on gender-affirming care was found, and MAP does not list Hawaii as having an explicit Medicaid coverage policy. There is also no known exclusion. Hormones are usually covered like other prescriptions, sometimes with prior authorization; surgery coverage is decided by your QUEST health plan. If you are denied, ask the plan for the written reason, request a grievance or appeal, and contact the Trans Health Project for appeal templates.

Apply for coverage

Private insurance[1][9]

Since 2016, HRS § 431:10A-118.3 prohibits health insurers regulated by Hawaii from denying or limiting coverage because of gender identity, including blanket exclusions of transition-related care. It does not reach self-funded employer plans, which are governed by federal law. File complaints with the Insurance Division of the Department of Commerce and Consumer Affairs.

File an insurance complaint

The rules in detail

Rules for adultsNo state restriction. Hormone therapy is available in person in Honolulu and statewide by telehealth.

No state restriction. Hormone therapy is available in person in Honolulu and statewide by telehealth.

If you have no insurance and little money, in rough order of what to try:

  1. Apply for Med-QUEST (Hawaii Medicaid) at medical.mybenefits.hawaii.gov. Coverage for transition care is not spelled out publicly, but hormones and labs are ordinary prescriptions and office visits; ask your health plan.
  2. Contact HHHRC in Honolulu (808-521-2437). Its clinic offers hormone therapy with primary care and peer navigators who help with insurance.
  3. Planned Parenthood offers gender-affirming hormone care at all its health centers, including Honolulu, and by telehealth. Insurance is not required.
  4. Community health centers (FQHCs) charge on a sliding scale. Find one at findahealthcenter.hrsa.gov.
  5. Point of Pride's HRT Access Fund pays for up to 18 months of telehealth hormone care (applications open each year).
[3][4][7][10][8]
Rules for under 18Legal. Hawaii has no ban on gender-affirming care for minors (MAP).

Legal. Hawaii has no ban on gender-affirming care for minors (MAP). HB 1875 (2026) extends the protections of Act 2, SLH 2023 to gender-affirming care, shielding patients, families, and providers from other states' legal actions and restricting disclosure of health information. Care for minors follows clinical guidelines and generally requires a parent's consent. Planned Parenthood did not publish a minimum age for hormone care in Hawaii; call to ask.

[1][2][4]
Laws and court cases2 laws

Sources

12 sources. Numbers in the text, like [1], point here.Show all
  1. Hawaii equality profileMovement Advancement Project, Organization. accessed
    “Private health insurance nondiscrimination law 1/1; insurance exclusion ban 1/1; shield law 1/1; no law banning best-practice care for transgender youth; Medicaid coverage policy 0/1.”
  2. HB1875: Gender-Affirming Care Shield LawACLU of Hawaii, Organization. accessed
    “Expands the protections established under Act 2, SLH 2023, to include gender-affirming health care services ... Status Signed by governor”
  3. Hormone Therapy ServicesHawaii Health & Harm Reduction Center, Organization. accessed
    “HHHRC's clinic, in coordination with the Kua'ana Project, provides a patient-centered affirming environment where patients can receive hormone therapy”
  4. HRT: Hormone Therapy for Trans and Non-Binary PatientsPlanned Parenthood Great Northwest, Hawaii, Alaska, Indiana, Kentucky, Organization. accessed
    “These services include gender-affirming hormone care at all our health centers. We also offer care by telehealth.”
  5. Honolulu Health CenterPlanned Parenthood, Organization. accessed
    “839 S Beretania Street Honolulu, HI 96813 ... Insurance not required ... Gender-Affirming Care”
  6. QueerDocOrganization. accessed
  7. Find a Health CenterHealth Resources and Services Administration, Official page. accessed
  8. Apply for MedicaidHawaii Department of Human Services, Med-QUEST Division, Official page. accessed
    “The Med-QUEST Division accepts applications for medical assistance coverage online, over the phone, by mail or Fax.”
  9. Filing a ComplaintHawaii Department of Commerce and Consumer Affairs, Insurance Division, Official page. accessed
  10. HRT Access FundPoint of Pride, Organization. accessed
  11. GenderbandsOrganization. accessed
  12. Trans Health ProjectAdvocates for Trans Equality, Organization. accessed