For those who do not have health insurance, anything out-of-pocket, including doctors appointments, is “incredibly expensive,” Coiro acknowledged. Even for adults and minors who have health insurance and live in states not affected by restrictions on transition care, insurance companies may not approve coverage for such care. “Technically, we still have Trump’s rollbacks on the books.”Apart from the expenses associated with transitioning, unpleasant experiences with health care providers can also dissuade individuals from seeking supervised care. She wasn’t, however, prompted by a desire to save money or a lack of health insurance. This decision, they said, came after a career switch that included health insurance coverage.