Choices are Awesome – Trans Health Care

I collaborated with Sheila Ramgopal at Allegheny Reproductive Health Center to create a guide to health coverage, providers and resources related to trans health care for low-income people. Thank you Zoë Mizuho for all of your help as well!

What seems important about trans health care is the gap that often exists between the law – which at this point says basically that services related to gender transition must be covered, and that medically necessary health care must be provided regardless of sex reported on intake form/medical records (eg pap smear provided for F to M person who marks M on intake form – and what actually occurs in practice. Health plans still try to exclude transition-related health care, providers still experience confusion and may refuse to process insurance forms. Options might be contacting a consumer health advocacy organization – see that section here on the website – to get legal help or representation contesting practices, or making a choice about what sex on an intake form might get you more of the care that you need without questions (totally a personal decision!.)

Note: these are guides with information that can change. We’ll keep them updated as best we can.

This information is difficult to get. Too difficult. Hopefully these spreadsheets will support you and/or your loved ones in making the choices that are best for you and for them. Choices are awesome.


FEEDBACK ALWAYS VERY WELCOME! Use the comments function.


LGBTQ Resources


5301 Butler Street, Suite 100
Pittsburgh, PA 15201
PHONE: 412-441-9786
or 888-873-7723

PERSAD CENTER is a human service organization whose mission is to improve the well-being of the LGBTQ (lesbian, gay bisexual, transgender, queer and questioning) communities, and the HIV/AIDS communities. We serve our target populations and their loved ones, cradle to grave, across western Pennsylvania, with service centers in Pittsburgh, Washington and Erie Pennsylvania.

“We fulfill our mission through outreach, prevention, counseling, training and advocacy services”:



Community-created provider directory and resource listings, including listings for LGBTQ-supportive and knowledgeable providers.  Section on how to recognize good health care.

GLMA – Gay and Lesbian Medical Association

Has a provider directory with a number of Pittsburgh providers listed. Also provides health care equity information and advocacy resources.