Trans Resource Navigator

Gender-affirming care in Minnesota

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 Part of this page may be out of date until we review it.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: Fees and insurance (2026-10-12) · #259
  • Page changed: Red Door Clinic (2026-10-05) · #145
Care for adults
Allowed
Care for people under 18
Allowed
Medical Assistance (Minnesota Medicaid) pays for hormones
Covered
Medical Assistance (Minnesota Medicaid) pays for surgery
Covered
Private plans must cover care
Yes, by law

Gender-affirming care is legal for adults and minors in Minnesota. Medical Assistance and state-regulated health plans must cover medically necessary gender-affirming care, and the 2023 trans refuge law protects patients, families, and providers from other states' subpoenas, extradition, and custody claims. Informed-consent hormone care is available from Planned Parenthood (16 and older) and sliding-scale clinics in the Twin Cities.

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 North Central States, gender-affirming hormone therapy[5][6]

    Informed-consent hormone therapy with no therapy note or referral required, in person or by telehealth (periodic in-person lab visits needed). In Minnesota, patients must be 16 or older and post-puberty; under 18 bring a parent or guardian to the first visit. LGBTQ+ Care Coordinators help with questions. In-network with most insurance; staff help uninsured patients with costs.

    • Cost varies
    • Telehealth
    • Sees uninsured patients

  • Family Tree Clinic, Trans Hormone Care[7][8]

    Nonprofit sexual and reproductive health clinic in Minneapolis that is accepting new hormone patients, ages 14 and up (parent or guardian consent under 18), plus PrEP and telehealth. Sliding fee of 40 to 100 percent of cost by income, payment plans, and no one turned away for inability to pay. Call or text 612-473-0800.

    • Sliding scale
    • Telehealth
    • Sees uninsured patients
    612-473-08001919 Nicollet Avenue, Minneapolis, MN 55403

  • Hennepin Healthcare, Adult Gender and Sexual Health Clinic[9]

    Primary care clinic at Hennepin County's public hospital system for LGBTQ adults, including trans and nonbinary patients. 612-873-2474. Call to confirm services and new-patient availability.

    • Community reported

    Serves: Minneapolis and Hennepin County

    612-873-2474

  • RECLAIM[10]

    Nonprofit providing individual, relationship, and family therapy for queer and trans youth ages 12 to 25 and their families, with equity-based sliding-scale pricing.

    • Sliding scale

  • Red Door Clinic (Hennepin County Public Health)[11][12]

    County sexual health clinic for STI and HIV testing, doxy-PEP, PrEP (for certain patients; staff refer others), family planning, and syringe exchange. Walk-ins first-come, first-served. Does not turn patients away based on ability to pay. 612-543-5555.

    • Sliding scale
    • Sees uninsured patients
    612-543-5555525 Portland Ave S, 4th Floor, Minneapolis, MN 55415

  • Find a community health center (HRSA)[13]

    Official locator for federally qualified health centers, which see you regardless of insurance or ability to pay and charge on a sliding scale. Call and ask whether they offer gender-affirming hormone therapy.

    • Sliding scale
    • Accepts Medicaid
    • Sees uninsured patients

  • Point of Pride funds[14]

    National funds for people who cannot afford care, including the HRT Access Fund (free telehealth hormone therapy), a trans surgery fund, and free binders and shapewear.

    • Free

  • Genderbands grants[15]

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

    • Free

  • Trans Health Project (Advocates for Trans Equality)[16]

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

    • Free

Paying for care

Medicaid (Medical Assistance (Minnesota Medicaid))[1][2][4]

Minnesota law says "Medical assistance covers gender-affirming care, as defined in section 62Q.585" (Minn. Stat. § 256B.0625, subd. 3a). That definition includes all medical, surgical, counseling, and referral services, including telehealth, that support a person's gender identity or expression and are legal in Minnesota, when medically necessary.

Federal changes are coming: starting October 1, 2026, federal law changes who can qualify for MA based on immigration status; from January 1, 2027 some adults may need to meet work or community engagement reporting requirements, and some will renew every six months. If you are enrolled, watch your mail and renew on time.

Apply through MNsure (online), or at your county or tribal human services office.

Apply for coverage

Private insurance[2][16]

Since the 2024 law (Minn. Stat. § 62Q.585), no health plan offered, sold, issued, or renewed in Minnesota may exclude coverage for medically necessary gender-affirming care or apply a more restrictive definition of medical necessity to it. If your plan denies care, file an internal appeal, then request an external review or file a complaint with the Minnesota Department of Commerce, which regulates insurers (HMO complaints may go to the Minnesota Department of Health; Commerce can route you). Self-funded employer plans are federally regulated and may not be covered by this law; the Trans Health Project has appeal templates for those.

File an insurance complaint

The rules in detail

Rules for adultsNo state restriction. Planned Parenthood North Central States and several Twin Cities clinics prescribe hormones on an informed consent basis: no…

No state restriction. Planned Parenthood North Central States and several Twin Cities clinics prescribe hormones on an informed consent basis: no therapist letter or referral is needed. Telehealth prescribing is legal.

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

  1. Apply for Medical Assistance (Minnesota Medicaid) through MNsure or your county. It covers gender-affirming care by statute.
  2. Go to a sliding-scale clinic such as Family Tree Clinic in Minneapolis, which does not turn people away for inability to pay, or a community health center (findahealthcenter.hrsa.gov).
  3. Planned Parenthood North Central States offers hormone therapy in person and by telehealth and helps uninsured patients figure out costs.
  4. Point of Pride's HRT Access Fund pays for telehealth hormone care for people who qualify (applications open once a year).
[1][5][8][13][14]
Rules for under 18Legal with parental consent. Minnesota's 2023 trans refuge law (HF 146) bars enforcement of other states' laws that would remove a child from a…

Legal with parental consent. Minnesota's 2023 trans refuge law (HF 146) bars enforcement of other states' laws that would remove a child from a parent for allowing gender-affirming care, blocks subpoenas seeking information about gender-affirming care received or provided in Minnesota, lets Minnesota courts take emergency custody jurisdiction when a child is in the state to get this care, and limits extradition for providing or receiving it.

Planned Parenthood North Central States sees patients in Minnesota from age 16 (post-puberty; a parent or guardian comes to the first visit). Family Tree Clinic offers hormone care from age 14 with a parent or guardian consent form. RECLAIM provides sliding-scale therapy for queer and trans youth 12 to 25. Federal actions in 2025 and 2026 led some hospital systems nationally to pause youth gender care, so call a hospital program to confirm what it currently offers.

[3][5][7][10]
Laws and court cases3 laws

Sources

16 sources. Numbers in the text, like [1], point here.Show all
  1. Minn. Stat. § 256B.0625, Covered services (subd. 3a, Gender-affirming care)Minnesota Office of the Revisor of Statutes, Law. accessed
    “Medical assistance covers gender-affirming care, as defined in section 62Q.585.”
  2. Minn. Stat. § 62Q.585, Gender-affirming care coverage; medically necessary careMinnesota Office of the Revisor of Statutes, Law. accessed
    “No health plan that covers physical or mental health services may be offered, sold, issued, or renewed in this state that (1) excludes coverage for medically necessary gender-affirming care”
  3. Laws 2023, chapter 29 (HF 146)Minnesota Office of the Revisor of Statutes, Law. accessed
    “An act relating to children; preventing the use of subpoenas to gather information for out-of-state laws interfering in the use of gender-affirming health care”
  4. Federal Changes to Medical Assistance (MA)LawHelpMN, Organization. accessed
    “On Oct. 1, 2026, federal law changes who can qualify for Medical Assistance based on immigration status.”
  5. Transgender hormone therapyPlanned Parenthood North Central States, Organization. accessed
    “Patients in Minnesota must be at least 16 years old and post-puberty to qualify for this service. You'll need to bring a parent or guardian to your first visit, if you are under the age of 18.”
  6. Telehealth online visitsPlanned Parenthood North Central States, Organization. accessed
    “patients will need to have periodic in-person visits to complete the lab work”
  7. Trans Hormone CareFamily Tree Clinic, Organization. accessed
    “WE ARE CURRENTLY ACCEPTING NEW HORMONE Care PATIENTS.”
  8. Paying for ServicesFamily Tree Clinic, Organization. accessed
    “We do not turn patients away for an inability to pay for services at the clinic. ... You will be charged between 40 to 100 percent of the actual cost of your visit depending on your income.”
  9. Hennepin Healthcare Adult Gender & Sexual Health Clinic (directory listing)OutFront Minnesota, Community. accessed
  10. RECLAIMOrganization. accessed
    “We serve youth ages 12-25 and their families by providing individual, relationship, and family therapy.”
  11. Red Door ClinicHennepin County Public Health, Official page. accessed
  12. Fees and insuranceHennepin County Public Health, Red Door Clinic, Official page. accessed
    “We do not turn patients away based on ability to pay.”
  13. Find a Health CenterHealth Resources and Services Administration, Official page. accessed
  14. HRT Access FundPoint of Pride, Organization. accessed
  15. GenderbandsOrganization. accessed
  16. Trans Health ProjectAdvocates for Trans Equality, Organization. accessed