Gender-Affirming Health Services

Provided by: Health PEI

Service Description

Provides medical services and supports for individuals who seek gender-affirming health care. Covered procedures include:
  • Clitoral release
  • Erectile/testicular implant
  • Hysterectomy/bilateral salpingo-oophorectomy
  • Mastectomy with chest masculinization
  • Chest feminization
  • Metoidioplasty
  • Oophorectomy
  • Phalloplasty
  • Scrotoplasty
  • Vaginectomy
See website for the full list of covered procedures.

Note: Requests for retroactive financial coverage of surgeries completed without prior approval will not be considered.

Information

Eligibility:
Open to PEI residentsTo qualify for coverage from PEI Medicare for surgical procedures, individuals must:
-Be assessed and recommended for surgery by a qualified physician or nurse practitioner
-Have a physician or nurse practitioner complete and submit the Gender Confirming Surgery Prior Approval Request Form with any necessary attachments to Health PEI's Out of Province Coordinator
-Receive written approval for the surgery, in advance of the surgery, from the Out of Province Coordinator
To qualify for coverage from PEI Medicare for non-surgical procedures in PEI, individuals must:
-Complete a Gender Confirming Procedure Prior Approval Request Form and submit it to the Health PEI Gender-Affirming Clinic with any necessary attachments
-Receive written approval, in advance of the procedure, by the Gender-Affirming Procedure Approval Committee
-Follow the steps outlined for Out-of-Province Medical Travel if need to travel out-of-province
Fees:
Yes * Pharmacare may require partial costs of hormone therapy medications
How to Access:
Contact family physician or nurse practitioner, if you have neither of them or prefer not to talk to them:-Call or email the Patient Navigator-Assessments are available at Community Mental Health Program-Contact a private practitioner-Self-referral to the Gender Affirming Clinic, which is held twice a month (902-569-7772, gac@ihis.org)
Documents Required:
Valid PEI Health Card * Applicants for surgical procedures must have their family physician or nurse practitioner complete and submit a Gender Confirming Surgery Prior Approval Request Form * For Out-of-Province procedure, supporting documents required
Program Phone Numbers:
Language:
English
Coverage Area:
Prince Edward Island

Service Locations & Contact Info