We accept several nationwide and regional insurance plans for visits! At this time, we do not accept Medicaid or Medicare. If you're part of an exclusive insurance network based around a hospital system, we may not be in-network for you.
If FOLX takes your insurance, then you will be able to pay your regular copay, coinsurance, or deductible for your visits.
Please note: If you have more than one insurance plan, coordination of benefits rules determine which plan pays first. FOLX cannot bill a secondary insurance plan as your primary insurance. If your primary insurance is not one of the plans FOLX accepts, you may need to use self-pay for FOLX services and contact your insurance plans directly about any reimbursement options.
We currently accept:
Insurance Provider |
States Covered |
Services Covered |
Notes |
Aetna |
National coverage | Primary Care & Gender Affirming Care |
Includes coverage under Meritain Health.
If your member ID indicates that you have an IPA, we may be out-of-network.*
|
| AR, CA, CO, FL, GA, IA, IL, KS, MA, ME, MN, MO, NC, NJ, NM, NV, NY, OH, OR, PA, RI, SC, TN, TX, VA, VT, WA | Therapy | ||
| All Savers | National coverage | Primary Care, & Gender Affirming Care |
All Savers is owned by UnitedHealthcare (UHC). Therapy services covered through Optum in select states only. |
| Select states; see Optum | Therapy | ||
| Anthem | National coverage | Primary Care & Gender Affirming Care | If your member ID indicates that you have an IPA, we may be out-of-network.* |
| Therapy | |||
| Baylor Scott & White Health Plan (BSW) | TX | Primary Care & Gender Affirming Care | |
| TX | Therapy | ||
Blue Shield of California (BSC) |
CA, HI, IL, MA, MD, MI, MN, MT, NJ, NC, PA, TX | Primary Care & Gender Affirming Care | Blue Shield of California is covering your monthly membership fee - learn more here! |
| CA, IL, NC, NJ, PA, TX | Therapy | ||
Blue Cross and Blue Shield of Illinois (BCBSIL) |
CA, IL, MA, MD, MI, MN, MT, NC, NJ, PA, TX | Primary Care & Gender Affirming Care | If your member ID indicates an HMO or IPA plan, we are likely not in-network. |
| CA, IL, NC, NJ, PA, TX | Therapy | ||
Blue Cross Blue Shield of Massachusetts |
National coverage | Primary Care & Gender Affirming Care |
FEP plans are currently not covered outside of Massachusetts. |
| AR, CA, CO, FL, GA, IA, IL, KS, ME, MN, MO, NC, NJ, NM, NV, NY, OH, OR, PA, RI, SC, TN, TX, VA, VT, WA | Therapy | ||
| Blue Cross Blue Shield of Michigan (BCBSMI) | CA, HI, IL, MA, MD, MI, MN, MT, NJ, NC, PA, TX | Primary Care & Gender Affirming Care | Except Blue Cross Network. |
Blue Cross and Blue Shield of Minnesota (BCBSMN) |
CA, HI, IL, MA, MD, MI, MN, MT, NJ, NC, PA, TX | Primary Care & Gender Affirming Care | |
| CA, IL, NC, NJ, PA, TX | Therapy | ||
Blue Cross and Blue Shield of Montana (BCBSMT) |
CA, HI, IL, MA, MD, MI, MN, MT, NJ, NC, PA, TX | Primary Care & Gender Affirming Care | |
| CA, IL, NC, NJ, PA, TX | Therapy | ||
Blue Cross of North Carolina (BCNC) |
CA, HI, IL, MA, MD, MI, MN, MT, NJ, NC, PA, TX | Primary Care & Gender Affirming Care | |
| CA, IL, NC, NJ, PA, TX | Therapy | ||
Blue Cross and Blue Shield of Texas (BCBSTX) |
CA, HI, IL, MA, MD, MI, MN, MT, NJ, NC, PA, TX | Primary Care & Gender Affirming Care | |
| CA, IL, NC, NJ, PA, TX | Therapy | ||
Capital Blue Cross |
CA, HI, IL, MA, MD, MI, MN, MT, NJ, NC, PA, TX | Primary Care & Gender Affirming Care | |
| CA, IL, NC, NJ, PA, TX | Therapy | ||
CareFirst BlueCross BlueShield of Maryland |
CA, HI, IL, MA, MD, MI, MN, MT, NJ, NC, PA, TX | Primary Care & Gender Affirming Care | |
| CA, IL, NC, NJ, PA, TX | Therapy | ||
CareSource |
GA, IN, OH | Primary Care & Gender Affirming Care | |
| OH | Therapy | ||
| Cigna | National coverage | Primary Care & Gender Affirming Care |
Therapy services covered through Evernorth in select states only. FOLX is not in-network with BayCare Exclusive Network plans. |
| Select states; see Evernorth | Therapy | ||
| Evernorth | AR, CA, CO, FL, GA, IA, IL, KS, ME, MN, MO, NC, NJ, NM, NV, NY, OH, OR, PA, RI, SC, TN, TX, VA, VT, WA | Therapy | Part of Cigna. |
| Fallon Health | MA | Primary Care & Gender Affirming Care | |
| Hawaii Medical Service Association | CA, HI, IL, MA, MD, MI, MN, MT, NJ, NC, PA, TX | Primary Care & Gender Affirming Care | The Blue plan in Hawaii. |
| Highmark | CA, HI, IL, MA, MD, MI, MN, MT, NJ, NC, PA, TX | Primary Care & Gender Affirming Care | |
| CA, IL, NC, NJ, TX | Therapy | ||
|
Horizon Blue Cross Blue Shield of New Jersey |
CA, HI, IL, MA, MD, MI, MN, MT, NJ, NC, PA, TX | Primary Care & Gender Affirming Care | FOLX is not in-network with Horizon EPO products currently. |
| CA, IL, NC, NJ, PA, TX | Therapy | ||
Meritain Health |
National coverage | Primary Care & Gender Affirming Care | Meritain Health is an Aetna company. |
| AR, CA, CO, FL, GA, IA, IL, KS, ME, MI, MN, MO, NC, NM, NV, NY, OH, OR, RI, SC, TN, TX, VA, VT, WA | Therapy | ||
| Optum | AR, CA, CO, FL, GA, IA, IL, ME, MN, MO, NC, NJ, NM, NV, NY, OH, OR, RI, SC, TN, TX, VA, VT, WA | Therapy | If you have UHC, FOLX is in-network for therapy services via Optum. |
| Oscar | AR, CA, CO, FL, GA, IA, IL, ME, MN, MO, NC, NJ, NM, NV, NY, OH, OR, RI, SC, TN, TX, VA, VT, WA | Therapy | If you have Oscar, FOLX is in-network for therapy services only, via Optum. |
| Oxford / UHC | National coverage |
Primary Care & Gender Affirming Care
|
Oxford is owned by UnitedHealthcare (UHC). Therapy services covered through Optum in select states only. |
| Select states; see Optum | Therapy | ||
Priority Health |
National coverage | Primary Care & Gender Affirming Care | |
| Select Health Idaho | ID | Primary Care & Gender Affirming Care | |
| Select Health Utah | UT | Primary Care & Gender Affirming Care | FOLX is in-network with Care and Choice networks only. |
| Surest | Only available for select employer partners |
Primary Care & Gender Affirming Care
|
Therapy services covered through Optum in select states only. |
| Select states; see Optum | Therapy | ||
|
UnitedHealthcare (UHC/UMR)
|
National coverage |
Primary Care & Gender Affirming Care
|
Includes coverage under All Savers and Oxford. Therapy services covered through Optum in select states only. |
| Select states; see Optum | Therapy | ||
Wellfleet Student |
National coverage | Primary Care & Gender Affirming Care |
Wellfleet uses Cigna's national network of providers. Therapy services covered through Evernorth in select states only. |
| Select states; see Evernorth | Therapy |
*If your ID card indicates that you have an IPA, we recommend you call the number on the back of your card to determine whether or not you can see providers who are not part of the IPA.
Please note: for all Blue Cross Blue Shield plans, unless indicated in the list of states above, members need to be located in their plan's state in order for FOLX to be considered in-network. Additionally, FEP plans are currently not covered outside of Massachusetts.
Don't see your insurance or state listed? Don’t worry! We're continuing to add new plans, so we encourage you to check back and sign-up for our newsletter to stay up-to-date on new launches. You may still be able to use insurance at the pharmacy of your choice for prescriptions as well as to pay for labs at a non-Quest lab facility.
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