Note that legally, under the Obama administration (this might change under Trump), you cannot be denied coverage for appropriate healthcare due to your gender marker (e.g., health insurance companies must cover pap smears for transgender men, prostate exams for transgender women).
It is not as if healthcare providers are just going to disappear. It is more likely that access to insurance will be curtailed and some of the protective rules will disappear. It is highly likely that this will affect people buying on the exchanges far more than people who have insurance through their jobs, et cetera. A lot of this will come down to access to economic privilege and learning how people with insurance/$ can support those without.
Gynopedia – includes reproductive health laws and resources for major cities around the country/world. Currently only includes information for a handful of major U.S. cities, but may be useful for some.
Healthcare Provider Search Tools
- GLBT Near Me: Locate health care practitioners who have self-identified as LGBT+ friendly. To locate a physician, enter your zip code, search radius, select “health” from the dropdown menu, and hit search. This will return all the health care providers in the database. You will need to reach out to physicians individually to find out cost.
- RAD Remedy is dedicated to connecting trans, gender non-conforming, intersex, and queer folks to accurate, safe, respectful, and comprehensive care. They have a searchable database.
- Free Clinic Directory Locate free clinics near you.
- Planned Parenthood: Offers general health services- not only reproductive services. Reputation as trans friendly (many offer free/low-cost hormones). If you still have insurance through your job, getting care at PP helps subsidize care for others.
- U.S. Department of Health and Human Services’ database. Locate sliding-scale community health services
- Fenway Health is an LGBTQ community health center and advocacy organization founded originally by students affiliated with Northeastern University. They offer medical, dental, and eye care in an affirming environment, including HIV prevention and health navigation services. They also have extensive mental health care resources and regular free support groups for different queer identity groups.
- Rosie’s Place is an entirely donor supported sanctuary for poor and homeless women in Boston (they do not accept any local, state, or federal aid). They are LGBT*-affirming and provide food, shelter, and advocacy to connect disadvantaged women with accessing, among other things, emergency funding for preventative healthcare and medication.
- Boston Medical Center is the largest safety-net hospital in New England, meaning they maintain an open door policy for services and a majority of their patients are on Medicaid or are uninsured. They also offer BMC HealthNet which ranks among the best Medicaid plans in the country and offers a lot of traditional benefits. Massachusetts may be the state most shielded from a Republican administration gutting the ACA, so BMC’s resources and other MassHealth benefits should remain available to help even if federal policy threatens access to particular types of healthcare.
- Howard Brown Health – Easily the most valuable resource we have in Chicago. They provide counseling, free STI testing, HRT, legal counseling, and so so so much more. Like woah. They also have a huge list of resources, and have nights where they do free reproductive health exams for women and people assigned female at birth. And yes, by women they do mean trans women too. If you’re trans and want to start HRT they have a drop in night twice a month, and even if you make an appointment you can walk out with hormones same day. They use a consent based model. You just have to know the effects, possible side effects and agree that’s what you want and that’s it. Also they do some sort of magic if your insurance doesn’t cover hormones! I’m not sure how they do it (they call it the Howard Brown discount), but you get it if your insurance won’t cover it. Definitely worth looking into. A+ clinic, does recommend.
- Chicago Women’s Health Center provides a wide range of sliding scale reproductive health and other services that are feminist, culturally competent, and queer/trans competent.
- Columbus Public Health maintains a listing of free and sliding scale healthcare, dental, and vision services as well as resources for help with prescription drug costs. Find resources under the links “Heathcare Resources” and “Assistance for Prescription Drugs”
- Equitas Health – provides LGBTQ culturally competent comprehensive healthcare services, including primary care, gynecology, dental care, behavioral health services and counseling, legal services, pharmacy, and HIV/STI treatment and prevention.
- Montrose Center – provides LGBTQ services such a counseling and other behavioral health care, adult care, and wellness programs, and is home to several social and civic organizations. Located at 401 Branard Street, Houston, Texas 77006, the center is open Monday through Friday from 8 a.m. to 7 p.m. Please call the main line at 713-529-0037 or the LGBTQ 24-hour helpline at 713-529-3211. “We are your Center. We are here for you when you need us. 38 years strong for LGBT Houston. “
- Legacy Community Health – as a Federally Qualified Health Center, Legacy currently provides adult primary care, pediatrics, dental care, vision services, behavioral health services, OB/GYN and maternity, vaccinations and immunizations, health promotion and community outreach, wellness and nutrition, and comprehensive HIV/AIDS care. Legacy has multiple locations throughout the Greater Houston Metroplex. Please call 832-548- 5000. “Health Care As a Right, Not A Privilege”
- New York City Free Clinic – “a comprehensive free healthcare clinic, believes that high-quality healthcare is the right of all individuals. We provide, at no cost to our patients, the full range of healthcare services that include specialty referrals, counseling, patient education, social services, and screening and registration for public health insurance.” (requires pre-screening for free health insurance by social worker; call this number 212-206-5200 for screening, calls can be made Mon-Fri between 8 AM and 10 PM or Sat-Sun between 8 AM and 8 PM.) 16 East 16th Street, New York, NY 10003
- Women’s Health Free Clinic – “The Women’s Health Free Clinic (WHFC) became the nation’s first comprehensive, free, student-run women’s health clinic when it opened in February 2008. The clinic is a partnership between New York University School of Medicine, the Reproductive Health Access Project, and the Institute for Family Health.” (also requires pre-screening by a social worker 212-206-5200, Calls can be made Mon-Fri between 8 AM and 10 PM or Sat-Sun between 8 AM and 8 PM.)
- St. Anthony’s Clinic – (718) 401-9705 Adult hours are on Saturdays 8am-12pm, children’s hours are from 9am to 12pm on alternating Tuesdays. This is a Catholic run clinic, so not sure how queer friendly it is there. “The clinic offers physical exams, asthma care & education, well child visits and immunizations, anemia checks, and various medicines. Urologist services are available on the third Saturday of the month. All visits and services are offered free of charge.”
- The Institute for Family Health – from their website: “You can come to us even without insurance. Everyone is welcome, even if you cannot pay. Patients pay based on their income.” They provide services to undocumented patients. They have LGBTQ services, HIV testing/treatment, counseling, trans affirmative health and mental health services, abortion, and many birth control options . As of now they also take medicaid/medicare. Social workers there will help you search for low cost prescriptions, either as generics or help you apply to Patient Assistance Program or the 340B program. Locations in Manhattan, the Bronx and the Hudson Valley; to contact 212-633-0800
- Third Root – from their website: “Third Root is a holistic community health center offering yoga, acupuncture, massage & herbal medicine. We offer sliding scale fees, a staff trained in anti-oppression, and a clinic that is building bridges within a community.” POC/LGBGNC worker owner coop. Open 8:30-8:30 Monday-Friday; 8:30 until earlier on weekends. Volunteer opportunities in exchange for yoga classes and community acupuncture. Located in Brooklyn, Contact: 718.940.9343 or firstname.lastname@example.org
- Callen-Lorde – Healthcare and services targeted towards LGBTQ folks. Includes primary care, HIV/AIDs care, women’s health care, trans health care, dental, mental health and social services. Offers sliding scale payment based on income. Also accepts medicaid/medicare. Locations in Manhattan and in the Bronx. Only the Bronx office is taking patients right now. Contact: (Manhattan office) (212) 271-7200.
- Betances – Offers sliding scale healthcare based on income (screening required, also takes Medicaid/Medicare) Offers Comprehensive Primary Care, HIV/AIDS Care, Mental Health Care, Women’s Health Care and Dental. In Manhattan and soon in Bushwick. Contact: 212-227-8401
- Ryan Clinic – (212) 749-1820, 6 medical sites in Manhattan, Medicaid/Medicare and other insurances, sliding scale if uninsured and can help with health benefits applications.
- Montefiore (Bronx) – comprehensive primary care (adults, children, OB/GYN, including family planning services/access to abortion), specialty care, HIV+/Hepatitis C care, social services; sliding scale for uninsured folks
- Family Health Center at Fordham – 718-933-2400 – 1 Fordham Plaza, 5th Floor, Bronx, NY 10458
- Williamsbridge Family Practice – 718-547-6111 – 3011 Boston Road, Bronx, NY 10469
- Comprehensive Health Care Center – 305 East 161st Street, Bronx, NY 10451
- Institute for Contemporary Psychotherapy also has trauma clinic, as well as LGBTQ clinic, sliding scale down to $40. Trans competence is spotty but possible to find if you are vocal up front.
- Kull Initiative for Psychotherapy takes all insurance and also has a really low sliding scale. They usually have POC (and QPOC) therapists on staff.
- Crime Victims Treatment Center at St Luke’s – free therapy and acupuncture for anyone who has experienced interpersonal violence at any point in their history. They also do immediate crisis work after an assault. Despite the misleading name, you don’t need to file a police report or have any documentation.
- National Institute for the Psychotherapies has a trauma clinic (therapists all trained in EMDR and other trauma modalities) – sliding scale goes down to $40
- Community Kinship Life provides trans-focused health care in the Bronx. They provide primary care services, HRT, HIV and STD screening, and has scholarships available to assist with surgery.
- Ali Forney Drop-in center – “the Drop-In Center is where any lesbian, gay, bisexual, transgender or questioning youth can access food, medical care, mental health services and much more.”
- Mazzoni Center Address: 21 S 12th St # 12, Philadelphia, PA 19107. Phone: (215) 563-0652. Hours: 9AM–5PM Provides a wide range of services to LGBTQ* folx in the region, including mental health services and family medicine. A strong focus on trans healthcare, some sliding scale services. There is a waitlist for some services because of the high demand. Please note: While a community resource for some LGBTQ POC, Mazzoni Center has a history of anti-blackness, specifically targeting and singling out black staff. We list them because they are such a resource but please take care of yourself and continue to speak out against anti-Black racism.
- Greater Philadelphia Health Action Inc. Locations throughout the city with a commitment to serving people independent of insurance. Operates in many of Philadelphia’s poorest areas and has experience serving folks without coverage.
- Metro Community Health Center – 412-247-2310, M – Th – F: 8:00 a.m. – 4:30 p.m.T – W: 8:00 a.m. – 7:30 p.m. 1789 South Braddock Avenue Suite 410. Queer-friendly GP for people of all genders and HIV status.
- PERSAD Center – 412-441-9786 Primarily a counseling/mental health services center for LGBTQ folks (allies also welcome). Also does other services like connecting people with foster care, substance abuse treatment, and intimate partner abuse. Offers sliding scale last I checked.
San Francisco Bay Area:
- Women’s Community Clinic — Located in San Francisco’s Fillmore District (sliding scale based on income/Medi-Cal/no-insurance), offers the full range of women’s health care including primary care, sexual and reproductive services, and mental health. Serves women and girls ages 12+ and offers client-centered, culturally-inclusive and judgment-free birth control, pap smears, medication abortion services, regardless of their insurance or immigration status.
- Berkeley Free Clinic offers free limited medical care from lay healthcare workers and medical professionals. This includes STI testing, Acute Primary Care, Dental Services, Hepatitis Testing, women’s, Trans*, and gender non-conforming services, as well as peer counseling.
- Valley Cities behavioral health
- Denver Community Health Collective
- Hey Denver
- HIV/STI testing
- People’s Movement Center (PrEP)
- Chase Brexton Health Services – has a long-standing reputation in Baltimore for providing quality LGTBQ health services. Sliding scale available for payment.
- Shepherd’s Clinic – low income health clinic that serves only the uninsured. Provides medical, mental health, and holistic services. Only serves certain zip codes in Northern Baltimore, so it is important to check with them first.
- Health Care for the Homeless – community-based clinic that primarily serves homeless individuals. LGTBQ-friendly, medical staff will provide primary care services with trauma-informed approach for trans* individuals, including HRT. Sliding scale fee, can also assist in applying for/obtaining health insurance.
- Baltimore Crisis Response, Inc. 24 hour hotline for mental health and drug/alcohol crises for adults 18 and over. They also collect information and refer youth to Baltimore Child and Adolescent Response (BCARS) which provides similar services for youth under 18 with the consent of a parent or guardian. Numbers: 410-752-2272 or 410-433-5175.
**please note that while there are surgeons in Maryland who are currently providing top surgery, the only provider who was doing genital reconfiguration left the state recently. The hospital doing the most around this work was the University of Maryland Medical Center. But other community clinics may have referrals for providers as well.
- Turn Around: 24 hour hotline: 410-828-6390
Supports individuals and families affected by domestic violence and sexual assault/abuse, through counseling, education, support services and advocacy.
- Nineline: Information for Kids (and youth/young adults) 1-800-999-9999
A website with information on family, relationships, feelings, suicide, abuse, health, sex, drugs and alcohol, and running away. A hotline for support, information and referral around all these challenges and others you may be facing. 2pm-12am 7 days a week.
- House of Ruth: 24-Hour Hotline: 410-889-RUTH (7884) Legal Hotline: 1-888-880-7884
Offers a 24 hour hotline, community advocates to work with victims of abuse crisis, a legal clinic, individual and group counseling, a children’s program, and abuse intervention to victims of domestic and interpersonal violence.
- MD Youth Crisis Hotline: 800-422-0009
24 hour hotline that provides support, information, and referral to all people in Maryland with a focus on youth under 24 years of age. See website for more information.
YES Drop In Center – drop in center for homeless youth, ages 14-25. Seeks to build relationships first and connect to requested services, including housing.
- Potomac Muslim Counseling Link – a group of Muslim mental health practicioners working in the MD/DC/VA area.
Southern Regional (Atlanta)
- AIDS Project of the Ozarks
- HIV/STI testing and prevention services
- Informed consent HRT
- Sliding scale payment option available, and can bill insurance claims to either of the two large networks in Springfield (Mercy and Cox)
- Health Brigade (Formerly Fan Free Clinic)
- HIV testing, PrEP
- Trans Health Services
- Free services for eligible patients including women’s health and behavioral health/counseling