Depending on your plan, HMSA health plan benefits may include counseling services, puberty suppression therapy, continuous hormone replacement therapy, gender affirming pre-surgery services, and gender affirming surgeries. To confirm whether a specific service is covered under your plan, refer to your Guide to Benefits in My Account, or call us using the phone number listed on the back of your HMSA card, or complete this form to request a callback.

Eligibility depends on several factors, such as age, diagnosis, medical and mental health conditions, and other clinical requirements. Eligibility criteria vary by service. To better understand what may be required for specific services, talk with your health care provider or contact HMSA Customer Relations for general guidance.

After you and your health care provider determine which services are appropriate for you, your provider can submit a request for approval, if required, based on your plan benefits.

The easiest way is to ask your doctor or the facility providing your care. You can also visit hmsa.com and use Find a Doctor. Providers listed in our database are HMSA participating providers.