Trans Resource Navigator

Gender-affirming care in Indiana

Change detected, under review. An official source this page relies on changed recently. Part of this page may be out of date until we review it.

  • Page changed: Ind. Code 25-1-22-13 (2026-10-12) · #226
  • Page changed: Indiana Medicaid for members (2026-09-28) · #46
  • Page changed: Ind. Code 25-1-22-13 (2026-09-28) · #32
Care for adults
Allowed
Care for people under 18
Banned
Indiana Medicaid (Healthy Indiana Plan, Hoosier Healthwise, Hoosier Care Connect) pays for hormones
Unclear
Indiana Medicaid (Healthy Indiana Plan, Hoosier Healthwise, Hoosier Care Connect) pays for surgery
Unclear
Private plans must cover care
No state rule

Hormone therapy is legal for adults in Indiana, and informed-consent care is available in Indianapolis and through Planned Parenthood clinics statewide. Care for anyone under 18 is banned by SEA 480, which has been in effect since 2024 after federal courts declined to block it. Indiana has no shield law, no insurance nondiscrimination rule, and no clear Medicaid policy.

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

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

If you are under 18, or a parent

Senate Enrolled Act 480 (2023), codified at IC 25-1-22, bars physicians and other practitioners from knowingly providing "gender transition procedures" (puberty blockers, hormones, and surgery) to anyone under 18, or aiding another practitioner in doing so. It was signed April 5, 2023 and was set to take effect July 1, 2023; a federal injunction blocked most of it until February 27, 2024, when the Seventh Circuit allowed it to take effect. The Seventh Circuit later ruled against the plaintiffs (K.C. v. Individual Members of the Medical Licensing Board), and the case is being wound down.

Exceptions in the statute: disorders of sex development, treatment of complications from earlier procedures, and emergencies. Mental health care, social transition, and counseling are not banned. Indiana has no shield law. If your family is considering care in another state, get legal advice first.

[1][2][3][4]

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

  • Eskenazi Health Gender Health Program[9][10]

    Indianapolis public hospital and FQHC program for adults with informed-consent hormone therapy, primary care, speech therapy, counseling, case management, PrEP, and help with name and gender marker paperwork through Indiana Legal Services. No therapist letter required. New patients currently go on a waitlist. 720 Eskenazi Ave; 317-880-6042.

    • Sliding scale
    • Accepts Medicaid
    • Sees uninsured patients
    317-880-6042720 Eskenazi Ave, Indianapolis, IN 46202

  • Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky (Indiana health centers)[11]

    Informed-consent gender-affirming hormone therapy for adults 18 and older, with staff trained at every Indiana clinic and gender health navigators who help with documents and referrals. Also STI testing and PrEP.

    • Sliding scale
    • Accepts Medicaid
    • Sees uninsured patients
    • Community reported

  • Damien Center[12]

    Indianapolis LGBTQ+-welcoming clinic with primary care, PrEP, HIV care, mental health and substance use services, free walk-in HIV and STI testing, and a sliding fee scale. Ask about gender-affirming care when you call. 1420 E. Washington St; 317-423-0130.

    • Sliding scale
    • Sees uninsured patients
    317-423-01301420 E. Washington St, Indianapolis, IN 46201

  • GenderNexus[13]

    Free care coordination (medical referral letters, connections to affirming providers), counseling with licensed social workers, and support groups for trans people and families. 3833 N. Meridian St, Indianapolis; 317-650-5988.

    • Free
    317-650-59883833 N. Meridian St, Indianapolis, IN 46208

  • Find a community health center (HRSA)[14]

    Official locator for federally qualified health centers, which must see you regardless of insurance and charge on a sliding scale. Call and ask whether they prescribe gender-affirming hormones.

    • Sliding scale
    • Accepts Medicaid
    • Sees uninsured patients

  • Point of Pride funds[15]

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

    • Free

  • Genderbands grants[16]

    Small grants for surgery and transition costs including hormones and name change fees; 18 and older.

    • Free

  • Trans Health Project (Advocates for Trans Equality)[17]

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

    • Free

Paying for care

Medicaid (Indiana Medicaid (Healthy Indiana Plan, Hoosier Healthwise, Hoosier Care Connect))[5][6][7][17]

Indiana has no written Medicaid policy either including or excluding gender-affirming care; transition care does not appear in the state's list of noncovered services (405 IAC 5-29-1). In practice, coverage of hormones, labs, and surgery depends on your managed care plan and prior authorization. If a claim is denied, ask for the denial in writing and appeal; the Trans Health Project has templates.

Healthy Indiana Plan (HIP) covers adults 19 to 64 with low income; Hoosier Healthwise covers children and pregnant people. Apply online at the FSSA Benefits Portal or call 1-800-457-4584.

Apply for coverage

Private insurance[8][7][17]

Indiana law does not prohibit insurers from excluding gender-affirming care. Read your plan's exclusions list. If a claim is denied, file an internal appeal, then an external review; you can also file a complaint with the Indiana Department of Insurance (800-622-4461). Employer self-funded plans are federally regulated; the Trans Health Project has appeal templates for those.

File an insurance complaint

The rules in detail

Rules for adultsNo Indiana law restricts gender-affirming care for adults 18 and older, with one exception: state law bars the Department of Correction from…

No Indiana law restricts gender-affirming care for adults 18 and older, with one exception: state law bars the Department of Correction from providing gender-affirming surgery to people in prison (challenged in Allison and Wallace v. Commissioner, in discovery). Telehealth prescribing is legal.

Eskenazi Health's Gender Health Program in Indianapolis and Planned Parenthood's Indiana clinics use informed consent: no therapist letter is needed to start hormones.

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

  1. Apply for Medicaid / Healthy Indiana Plan (HIP) at the FSSA Benefits Portal. Coverage of transition care is not clearly written; hormones and labs are often billed as ordinary prescriptions and visits, but ask before you start.
  2. Go to a federally qualified health center such as Eskenazi Health, which must see you regardless of ability to pay and uses a sliding fee scale. Find others at findahealthcenter.hrsa.gov.
  3. Planned Parenthood clinics across Indiana offer hormone therapy for adults, often with same-day or next-day visits.
  4. Point of Pride's HRT Access Fund pays for telehealth hormone care (applications each May).
  5. Generic estradiol and spironolactone are usually inexpensive with a pharmacy discount coupon; ask for the cash price.
[9][11][4][14][15][5]
Laws and court cases2 court cases, 1 law

K.C. v. Individual Members of the Medical Licensing Board of Indiana

The ban is fully in effect. The case is being dismissed.[4][3]

ACLU challenge to SEA 480 on behalf of transgender youth, parents, and a doctor. The Seventh Circuit lifted the injunction in February 2024 and later ruled 2-1 against the plaintiffs. Last update 2026-04-18.

Allison v. Commissioner, Indiana Department of Correction; Wallace v. Commissioner

In discovery; the ban applies while the cases continue.[4]

Challenges to the state law banning gender-affirming surgery for people in Indiana prisons. Last update 2026-04-18.

Sources

17 sources. Numbers in the text, like [1], point here.Show all
  1. Ind. Code 25-1-22-13FindLaw (copy of the Indiana Code), Law. accessed
    “a physician or other practitioner may not knowingly provide gender transition procedures to a minor.”
  2. Holcomb signs gender-affirming care ban for trans youth into lawWFYI, News. accessed
  3. Ban on gender-affirming care for minors allowed to take effect in IndianaWFYI, News. accessed
  4. List of current litigationACLU of Indiana, Organization. accessed
    “Seventh Circuit ruled against plaintiffs (2-1 decision).”
  5. Indiana Medicaid for membersIndiana Family and Social Services Administration, Official page. accessed
    “Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled”
  6. 405 IAC 5-29-1, Noncovered services (Medicaid)Legal Information Institute (copy of the Indiana Administrative Code), Regulation. accessed
  7. Indiana equality profileMovement Advancement Project, Organization. accessed
  8. Consumer servicesIndiana Department of Insurance, Official page. accessed
  9. Gender Health ProgramEskenazi Health, Organization. accessed
    “gender-affirming care including hormone therapy and specialty services for adult transgender patients of all gender identities”
  10. Financial counselingEskenazi Health, Organization. accessed
  11. Indiana Planned Parenthood expands gender-affirming care capacity at statewide clinicsWFYI, News. accessed
  12. ClinicDamien Center, Organization. accessed
  13. GenderNexusOrganization. accessed
  14. Find a Health CenterHealth Resources and Services Administration, Official page. accessed
  15. HRT Access FundPoint of Pride, Organization. accessed
  16. GenderbandsOrganization. accessed
  17. Trans Health ProjectAdvocates for Trans Equality, Organization. accessed