11 May Healthcare Resources and HRT for the Transgender Community in North Carolina and North Dakota
Hi Everyone,
You know that we want you to be healthy and safe. To help you with your health care journey we are creating a list, by state of health care organizations that serve the transgender, nonbinary, gender queer and non-conforming community. While we are creating this site for you, we are also doing this weekly post on health care. While it’s nice to have a list, in these posts we can also give you a few details on what each of the organizations we post actually do. We’ll just go through the states alphabetically, unless you send us a note and request a particular state and we’ll move requests to the top of the list.
This week we are covering the states of North Carolina and North Dakota. Many resources are, to their credit, creating comfortable places for routine and proactive health maintenance as well as interventionary health care. We will try to highlight what is offered in each case.
If you still can’t find the health care you need, drop us a note on FB (B.UR.SLF LLC), instagram/ twitter @burslfllc or email burslfllc@gmail.com and we will see what we can do to help.
This week we covering resources in North Carolina and North Dakota.
North Carolina
Mosaic Comprehensive Care (Websites – Transgender Care, FB – Mosaic Comprehensive Care, IG – @mosaiccomprehensivecare)
Transgender Care offers hormone therapy, primary and preventative care, STI screening and treatment and gynecologic and contraceptive care including chest/ breast health care, and IUD insertion and removal.
Payment Options: Mosaic accepts some insurance providers, and there are no obvious financial assistance options.
Transgender Care at Mosaic Comprehensive Care is in Chapel Hill and telehealth is available.
A broach spectrum of services are open to patients of all ages and genders, check with the provider for age limits on specific services.
Western North Carolina Community Health Service (Website – Trans Health, FB –Western North Carolina Community Health Services , IG – NONE FOUND)
Trans Health includes – hormone therapy, primary care, and referrals to gender confirmation surgery.
Trans Health at WNCCHS has a TRANSition Assistance Program to help transgender, non-binary and gender non-conforming individuals cover the cost of HRT, click the link TAP for more information. WNCCHS also accepts insurance, medicaid/medicare and has a sliding scale for the uninsure or those in need. Click the Insurance link for more information.
Trans Health is located in Asheville.
Hormone therapy is for 18+, there is a monthly teen clinci where teens presumably get access to other services.
The Charlotte Transgender Healthcare Group (Website – Charlotte Trans Health, FB – The Charlotte Transgender Healthcare Group, IG– #cthcg)
An interdisciplinary group of licensed healthcare providers that offer a range of general and transition related medical and wellness services to transgender/ non-binary children, adolescents and adults.
Payment Options: Check with individual providers for payment options.
Providers are in the Chalotte area, check with individual providers for locations.
Providers serve children, adolescents and adults check with individual providers for age limits on specific services.
UNC Department of Obstetric and Gynecology (Website –Transgender Health, FB –UNCOBGYN, IG – @uncobgynres)
Transgender health offers hormone therapy and is a point contract for referrals for surgery and other procedures.
Payment Options: no obvious information on the website, call the provider.
Transgender Health is located at UNC Dept. of OB-Gyn is in Chapel Hill.
Age limitations are not obvious, but appear to be for adults, check with the provider for age limits.
UNC Health Care Children’s (UNCHC) (Website – Pediatric and Adolescent Clinic for Gender Wellness, FB – UNC Children’s – North Carolina Children’s Hospital IG – @uncchildrens)
At the Pediatric and Adolescent Clinic for Gender Wellness a multidisciplinary team of pediatric endocrinologists, psychologists and social workers collaborate to offer puberty suppression and hormone therapy.
Payment Options: click the link to find insurance plans accepted by UNCHC and for the uninsured or those in need of financial help, click the link financial assistance.
The Clinics for Gender Wellnes are locatedin Chapel Hill and Raleigh click locations for details.
The Pediatric and Adolescent Clinic for Gender Wellness serves children and adolescents.
Duke Health (Websites – Duke Child and Adolescent Gender Care, FB – Duke Health, IG – @dukehealth)
Duke Child and Adolescent Gender Care has the following statement about services on their website “We provide treatment, support, education and counseling to transgender youth who are exploring their gender identity and gender expression, as well as their families.”. This clinic does not give specifics about services, but it does have both an endocrinologist and a urologist as part of the clinic so they may provide hormone therapy.
Payment Option:s This hospital-based clinic is part of the Duke Health Hospital system and so some insurance companies may bill services as co-insurance with a deductible rather than as a copay typical for an office visit. Check with your insurance for expected costs. Click the link for insurance plans accepted by Duke Health. Click the link payment plans and financial assistance if you feel you need help paying your bill or are in need of financial assistance.
Duke Child and Adolescent Gender Care at Duke Children’s Health Center is located in Durham.
Duke Child and Adolescent Gender Care is for children and adolescents.
UNC School of Medicine, Student Health Action Coalition (SHAC) (Website – Gender Affirming Care Clinic, and Student Health Action Coalition (SHAC), FB – Student Health Action Coalition (SHAC), IG – @unc_shac)
Gender Affirming Care Clinic offers prescriptions for hormones, primary care, letters of support for surgery and referrals for other services in SHAC and the community. The Gender Affirming Clinic aims to provide a safe space for trans/ non-binary students to get healthcare.
Payment Options: Visits to SHAC are free. SHAC is working to provide hormones free of charge in the future, but these are not currently free.
SHAC community health clinic is in Carrboro and the Dental Clinic is in Chapel Hill.
The Gender Affirming Care Clinic at SHAC is for transgender/ non-binary UNC students. Hormone presciptions can be given to students who are 18+, but referrals can be given to younger students.
Planned Parenthood of North Carolina is part of (1) organization, Planned Parenthood of the South Atlantic with (9) Health Centers. (Website – PPSouthAtlantic, FB – PPSouthAtlantic, IG – #plannedparenthoodsouthatlantic)
Planned Parenthood of the South Atlantic offers includes gender-confirming HRT in some Health Centers and via Telehealth. Planned parenthood also has a wide range of many services available to all people including primary care, HIV, SIT testing, counseling, and treatment PEP and PrEP, contraception,and gynecological care including PAP smears. Click the link named services for information on all services offered.
Almost all of the (9) Health Centers locations in North Carolina offer gender-affirming HRT and these are highlighted so you can click on that site – Asheville, Chapel Hill, Charlotte, Durham, Fayetteville, Greensboro, Raleigh, Wilmington and Winston-Salem. If you don’t live near any of these Health Centers, HRT is also offered to North Carolina via Telehealth.
Payment Options: Many PP Health Centers accept insurance and offer financial help, check on the websites and with the center for details.
The service is intended for adults 18+, but the many PP Health Centers offer service to patients 16 to 17 andyou may be able to get HRT with parental consent and additional paperwork, check with the Health Center.
VA Health Care for LGBTQ Veterans in North Carolina has (4) organization (Websites – Durham VA Health Care System, Fayetteville VAMC, W. G. (Bill) Hefner VA Medical Center, and Charles George VA Medical Center, FB – U.S. Dept. of Veteran Affairs, IG – @VeteranAffairs)
According to the U.S. Dept. of Veteran Affairs, Patient Care Services for LGBT veterans includes the following (and other) services – hormone treatment, treatment and prevention of STIs/PrEP, cancer screening, prevention and treatment. If there are questions reach out to the LGBT Veteran Care Coordinator (VCC) at the site.
Payment Options: VA Health Care is offered free of charge to veterans. Veterans may have some copays.
Durham VA Health Care System has (1) medical center, in Durham and (9) associated clinics in Raleigh (4), Clayton, Durham, (2), Greenville, and Morehead.
Fayetteville VAMC has (1) medical center in Fayetteville and (10) associated clinics in Supply, (3) Fayetteville, Goldsboro, Hamlet, Jacksonville, Sanford, Pembroke and Wilmington
W. G. (Bill) Hefner VA Medical Center has (1) medical center in Salisbury and (3) associated clinics in Kernersville, South Charlotte and North Charlotte.
Charles George VA Medical Center has (1) medical center in Asheville and (3) associated clinics in Franklin, Hickory and Forest City.
LGBT Veteran Care is for U.S. veterans.
North Dakota
Affiliated Reproductive Health Clinics (ARHC) (Wesbsite – Transgender Health Care North Dakota FB – ARHC Nebraska, IG – @arhcnebraska)
ARHC LGBTQ+ Clinic offers hormone therapy and puberty blockers. Physical exams, HIV/STD testing,l treatment and prevention, birth control, and referrals for laser hair removal and voice therapy are available.
Payment options beyond insurance are not obvious
Gender Services at ARHC LGBTQ+ Clinic are located in Bellevue NE, but open to serving North Dakota
No Age limitations are stated, but since puberty blockers are offered, the clinic may serve adolescents as well as adults. Call to confirm.
Harbor Health Clinic (Website – Harbor Health Clinic, FB – Not Available, IG – #harborhealthclinic)
Sadly over the last year, the pandemic has forced a valued community resource, Harbor Health Clinic, to close its doors.
They have posted the following resources to help transgender individuals find other options for gender-confirming medicine and health care gender-affirming hormone therapy providers, affirming therapists and surgery resources. There are additional helpful resources posted on the website.
Planned Parenthood of North Dakota is part of one organization Planned Parenthood of the North Central States (PPNCS) (Wesbsite – PPNCS, FB – Planned Parenthood North Central States, IG – @ppnorthcentralstates)
There is no Planned Parenthood clinic in North Dakota at this time. However, gender-affirming HRT is available in one Health Center near Fargo, ND, in Minnesota at Morehead. Gender-affirming HRT is also available via Telehealth. There is a PP clinic serving Fargo in Morehead, MN and there are other Planned Parenthood clinics in north central state at these locations in Iowa, Minnesota, Nebraska, and South Dakota.
Planned parenthood also has a wide range of many services available to all people including primary care, HIV, SIT testing, counseling, and treatment PEP and PrEP, contraception,and gynecological care including PAP smears. Click the link named services for information on all services offered.
Payment Options: Many PP Health Centers accept insurance and offer financial help, check on the websites and with the center for details.
The service is intended for adults 18+, but the many PP Health Centers offer service to patients 16 to 17 andyou may be able to get HRT with parental consent and additional paperwork, check with the Health Center.
VA Health Care for LGBTQ Veterans in North Dakota has (1) organization (Websites – Fargo VA Health Care System, FB – U.S. Dept. of Veteran Affairs, IG – @VeteranAffairs)
According to the U.S. Dept. of Veteran Affairs, Patient Care Services for LGBT veterans includes the following (and other) services – hormone treatment, treatment and prevention of STIs/PrEP, cancer screening, prevention and treatment. If there are questions reach out to the LGBT Veteran Care Coordinator (VCC) at the site.
Payment Options: VA Health Care is offered free of charge to veterans. Veterans may have some copays.
Fargo VA Healthcare System has (1) medical center in Fargo and (11) associated clinics with (8) in North Dakota located in Bismark, Devils Lake, Dickinson, Grafton, Grand Forks, Jamestown, Fargo, Minot and Williston and (2) in Minnesota located in Bemidji and Fergus Falls.
LGBT Veteran Care is for U.S. veterans.
About the author, Gayle M. Frankenbach, Ph.D. is the mother of a Daughter, Lise and a transgender son Elliott. Elliott and Gayle both passionately desire to care about and care for the trans community. Elliott and Gayle also both love the unbound creativity of the cosplay community. When we realized there is a big overlap between the two communities B.UR.SLF, LLC was born at the interface of these two great communities to serve them individually and together. Elliott and Gayle also enjoy running a trans son & parent business to be visible for parents on a journey to visibly support their own trans kids and be a great allies.