Gender-affirming care

Moda Health is committed to delivering compassionate and affirming healthcare for individuals who identify as transgender or non-conforming. Our dedication extends to connecting members with safe, compassionate providers who possess specialized knowledge in gender-affirming care. We recognize the importance of comprehensive and integrated gender-affirming care across the healthcare spectrum, ensuring a supportive and understanding healthcare journey for our members.

Your gender-affirming care benefits, based on the World Professional Association for Transgender Health (WPATH) guidelines, ensure you have access to medically necessary services and treatments that include, but are not limited to:

• Office visits and consultations
• Behavioral health therapy
• Hormone therapy
• Breast surgery
• Genital surgery
• Facial surgery
• Medically-necessary hair removal
• Tracheal shave
• Voice modification therapy
• Services for the removal and preservation of oocytes and sperm prior to the treatment of gonadotoxic therapy

Some services require prior authorization. Review your Member Handbook or contact our Moda 360 Health Navigators to learn more.

The Moda 360 Health Navigators arehere to help you navigate your coverage for gender-affirming care. Whether you have questions about benefits, need assistance with pre-authorizations, or are looking for in-network doctors and facilities, we've got you covered.

To speak with a Moda 360 Health Navigator call 844-776-1593 (TTY users, please call 711), email PEBBcustomerservice@modahealth.com, or log in to your Member Dashboard.

Our health plan benefits are inclusive for all members, no matter how you identify. This includes your spouse, domestic partner, children and any other covered dependents on your plan. You and your loved ones deserve access to quality healthcare that fits your needs.

Mental health and behavioral health support

Moda Health offers a wide variety of programs to support your journey, including programs for youth and young adults. Our partners provide compassionate care in safe and affirming spaces.

Moda 360 Member Dashboard

Moda 360 is a personalized program that puts you at the center of your healthcare. As a Moda 360 member, you can connect with healthcare experts, get personalized care reminders, and join specialized programs matched to your specific needs.

Spring Health

Modahealth.com/memberdashboard
Provides access to mental health telehealth services by using a phone, tablet, or computer.

Meru Health

Modahealth.com/memberdashboard
Online 12-week program to help reduce anxiety, stress, depression and burnout.

Hazelden Betty Ford

Modahealth.com/memberdashboard
LGBTQIA specific treatment for addiction and substance use issues, including program from teens, inpatient and outpatient treatment programs available.

Charlie Health

Modahealth.com/memberdashboard
Mental health intensive outpatient treatment for teens and young adults in crisis, including those struggling with gender identity and dysphoria.

Cyti Psychological

Modahealth.com/memberdashboard
Online therapy with LGBTQIA-friendly providers for individuals, couples and families. A gender-affirming care team is staffed with professionals trained in gender identity and sexual health.

More mental health and behavioral health support

Mindful Therapy Group

mindfultherapygroup.com
A diverse group of over 900 independent mental health practitioners offering in-person and virtual therapy.

Headlight Health

https://headlight.health/
In-person and online psychiatric and mental health services for individuals looking to overcome all types of mental health challenges.

PRISM Health

prismhealth.org
Compassionate, culturally-affirming healthcare focused on the LGBTQIA+ community. Portland, Oregon.

Brave Acorn

braveacorn.com
Trauma-trained therapists for people of all shapes and sizes struggling with identity, emotions, PTSD and more, including LGBTQIA+ youth.

Wild Heart Society

wildheartsociety.org
Relationship-based counseling and therapy for youth and families of all ages and identities. Telehealth and in-person care.