Can I See True U Clinic If I Have Medicaid?

Written By Coral Edwards

True U Clinic is self-pay only — we don't bill Medicaid or any other insurance. But if you have Medicaid, whether you're able to self-pay for care depends on your state. Some states allow Medicaid recipients to pay out of pocket for services; others don't.


This applies to adult patients only. If you're seeking care for a young person on Medicaid, we offer pro-bono services — visit our youth page or respct.org to learn more.

Here's how it breaks down.

States Where Medicaid Recipients Cannot Self-Pay

If you have Medicaid and live in California or Colorado, we're not able to see you at this time.

States Where Medicaid Recipients Can Self-Pay

States where Medicaid does not cover gender-affirming care

If your state's Medicaid plan doesn't cover gender-affirming care, you're generally able to self-pay for it. This includes:

  • Arizona

  • Idaho

  • Iowa

  • Kentucky

  • Ohio

  • Nebraska

  • South Carolina

  • Texas

States where Medicaid covers gender-affirming care

If your state's Medicaid plan does cover gender-affirming care, you can still self-pay for care at True U in some states. These include:

  • Alaska

  • Connecticut

  • Delaware

  • District of Columbia

  • Illinois

  • Kansas

  • Maine

  • Maryland

  • Massachusetts

  • Minnesota

  • Montana

  • Nevada

  • New Hampshire

  • New Jersey

  • New Mexico

  • New York

  • North Dakota

  • Oklahoma

  • Oregon

  • Pennsylvania

  • Rhode Island

  • South Dakota

  • Utah

  • Vermont

  • Virginia

  • Washington

  • Wisconsin

  • Wyoming

Not Sure About Your State?

Medicaid rules vary and can change. If you're unsure whether you're able to self-pay based on your state and coverage, contact our team and we'll help clarify.

Last updated: May 2026. We update this page whenever eligibility rules change.

Coral Edwards
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