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Transgender Health   

How should I answer the gender marker question on the Marketplace application?

We recommend that you answer this question according to the sex you believe is on file with the Social Security Administration (SSA) to help avoid confusion during the enrollment process. For more information, see this resource at

However, we recognize that many transgender people prefer to answer this question according to the gender they identify with, even if it’s different from what’s in the SSA record. You can do this, but be aware that this may cause confusion if your application is checked against SSA records or if you seek coverage for “sex-specific” care (such as a hysterectomy or prostate exam).

If you face discrimination at any point during the enrollment process, contact a legal organization here and please let us know at

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