Trans Resource Navigator

Gender-affirming care in Nevada

Care for adults
Allowed
Care for people under 18
Allowed
Nevada Medicaid pays for hormones
Covered
Nevada Medicaid pays for surgery
Covered
Private plans must cover care
Yes, by law

Gender-affirming care is legal for adults and minors in Nevada. State law requires Nevada Medicaid and state-regulated health insurance to cover medically necessary hormone therapy, surgery, and mental health care. Nevada does not have a shield law protecting patients and providers from other states' actions. Informed-consent hormone care is available in Las Vegas and Reno, and by telehealth.

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

Paying for care

Medicaid (Nevada Medicaid)[1][2]

NRS 422.272362 (2023) requires Nevada Medicaid to pay for medically necessary treatment of gender dysphoria and gender incongruence, including hormone therapy, surgery, and psychosocial care, following the current WPATH Standards of Care. It may not categorically refuse gender-affirming treatments that it covers for other purposes. NRS 422.2701 bans gender-identity discrimination in coverage. If you appeal a medical-necessity denial, the state must consult a provider experienced in gender-affirming care.

Under Medicaid Services Manual section 608, hormones are covered by medical necessity (prior-authorization rules are in Chapter 1200). Surgery requires prior authorization, age 18 or older, two letters from mental health professionals, and generally 12 months of hormones and 12 months living in your gender role before genital surgery. Breast augmentation is covered only if 12 months of estrogen did not produce enough growth. Cosmetic procedures, reversals, and fertility preservation are excluded.

Apply for coverage

Private insurance[3][5]

NRS 689A.0432 requires state-regulated health insurance to cover medically necessary treatment of gender dysphoria and gender incongruence, including psychosocial and surgical care, and bars categorical refusals. NRS 689A.033 bans discrimination based on gender identity or expression. Self-funded employer plans are governed by federal law and may not follow these rules. To complain about a denial, contact the Nevada Division of Insurance.

File an insurance complaint

The rules in detail

Rules for adultsNo state restrictions on adult care.

No state restrictions on adult care. The Center's Gavin J Goorjian Community Health Center in Las Vegas prescribes hormones on an informed consent basis, meaning no therapist letter is needed. Northern Nevada HOPES in Reno runs a gender and sexual health clinic. Planned Parenthood's North Las Vegas and Reno health centers list gender-affirming care. Telehealth (Plume, FOLX, Planned Parenthood) is also an option.

If you have no insurance and little money:

  1. Apply for Nevada Medicaid at Access Nevada. Adults qualify up to about 138% of the federal poverty level, and it covers hormones, surgery, and mental health care.
  2. Go to a community health center. Northern Nevada HOPES charges on a sliding scale. Find others at findahealthcenter.hrsa.gov.
  3. The Center in Las Vegas offers free help with Medicaid and Nevada Health Link enrollment.
  4. Point of Pride runs funds for hormone care and other gender-affirming needs.
  5. Generic spironolactone and estradiol tablets are often inexpensive with a discount coupon, so ask the pharmacy for the cash price.
[7][9][11][8][13][1]
Rules for under 18Nevada has no law banning gender-affirming care for minors.

Nevada has no law banning gender-affirming care for minors. Care requires parental consent and follows clinical guidelines. Nevada Medicaid covers hormone therapy based on medical necessity, but genital surgery is covered only at age 18 or older (MSM 608.1). State-regulated insurers may set their own requirements for covering surgery for minors (NRS 689A.0432). Nevada has no shield law: SB 302 (2023), which would have barred cooperation with other states' investigations and extradition over gender-affirming care, was vetoed. Families who travel from states with bans should get legal advice.

[2][3][4]
Laws and court cases4 laws
  • NRS 422.272362: Medicaid coverage for gender dysphoria and gender incongruence
  • NRS 422.2701: Medicaid may not discriminate based on gender identity or expression
  • NRS 689A.0432: Individual health insurance must cover medically necessary gender dysphoria treatment
  • NRS 689A.033: Insurers may not discriminate based on gender identity or expression

Sources

14 sources. Numbers in the text, like [1], point here.Show all
  1. NRS Chapter 422 (NRS 422.2701, 422.272362)Nevada Legislature, Law. accessed
    “The Authority shall not categorically refuse to cover any medically necessary gender-affirming treatments or procedures ... the Authority must consider the most recent Standards of Care published by the World Professional Association for Transgender Health.”
  2. Medicaid Services Manual Chapter 600, Section 608 Gender Reassignment ServicesNevada Medicaid, Official page. accessed
    “Treatment of gender dysphoria and gender incongruence is a Nevada Medicaid covered benefit, including both hormonal and surgical modalities, and psychotherapy, based on medical necessity. ... To qualify for surgery, the recipient must be 18 years of age or older.”
  3. NRS Chapter 689A (NRS 689A.033, 689A.0432)Nevada Legislature, Law. accessed
    “an insurer that issues a policy of health insurance shall include in the policy coverage for the medically necessary treatment of conditions relating to gender dysphoria and gender incongruence.”
  4. SB 302 (2023) bill historyNevada Legislature (NELIS), Official page. accessed
    “Jun 03, 2023 Vetoed by the Governor.”
  5. File a ComplaintNevada Division of Insurance, Official page. accessed
  6. Nevada MedicaidNevada Medicaid, Official page. accessed
  7. Gavin J Goorjian Community Health CenterThe LGBTQ+ Center of Las Vegas, Organization. accessed
    “Gender-Affirming Care: Hormone replacement therapy (HRT), Informed consent”
  8. Health Insurance ServicesThe LGBTQ+ Center of Las Vegas, Organization. accessed
  9. LGBTQ+ HealthNorthern Nevada HOPES, Organization. accessed
    “The Barry Frank Family Gender and Sexual Healthcare Clinic at HOPES provides gender affirming resources, case management, and financial support for individuals who are transitioning.”
  10. Northern Nevada HOPESNorthern Nevada HOPES, Organization. accessed
    “We accept Medicaid, most major health plans, and, for those without insurance, we have a sliding fee scale.”
  11. North Las Vegas Health CenterPlanned Parenthood Mar Monte, Organization. accessed
    “Services Offered ... Gender-Affirming Care”
  12. ProgramsOur Center, Organization. accessed
  13. Find a Health CenterHRSA, Official page. accessed
  14. Point of PridePoint of Pride, Organization. accessed