Skip to main navigation Skip to main content Skip to footer For Medicare For Providers For Brokers For Employers Español For Individuals & Families: For Individuals & Families Medical Dental Other Supplemental Explore coverage through work How to Buy Health Insurance Types of Dental Insurance Open Enrollment vs. Special Enrollment See all topics Shop for Medicare plans Member Guide Find a Doctor Log in to myCigna
Home Knowledge CenterLGBTQ+ Health Disparities

LGBTQ+ Health Disparities

Health disparities are differences in health between different groups of people. LGBTQ+ people experience a number of health disparities. They're at higher risk of certain conditions, have less access to health care, and have worse health outcomes. These disparities are seen in the areas of behavioral health, physical health, and access to care.

Behavioral health. Behavioral health includes mental health, substance abuse, and addiction. LGBTQ+ people are at greater risk of:

  • Suicide and suicidal thoughts
  • Mood disorders and anxiety
  • Eating disorders1
  • Alcohol and substance abuse1
  • Tobacco use2

Physical health. LGBTQ+ people are at greater risk for certain conditions, diseases, and infections:

  • Gay and bisexual men are more likely to have HIV/AIDS.3
  • Transgender Women, Black/African American and Hispanic/Latino men have the highest risk for HIV infection.4
  • Older LGBTQ+ adults are more likely to rate their health as poor and report more chronic conditions while having less social support.5
  • Lesbian and bisexual women are more likely to be obese.6
  • LGBTQ+ people are less likely to have a regular health care provider.7
  • Lesbian and bisexual women have higher rates of breast cancer, and transgender men and women are at greater risk.8
  • LGBTQ+ people have higher rates of HPV infection and related cervical or anal cancers.9

Access to care. LGBTQ+ people have less access to the health care they need. They are:

  • Less likely to have health insurance.9
  • More likely to delay getting care, especially in older LGBTQ+ adults.5
  • More likely to report lack of cultural competence by health care providers.5
  • More likely to report poor quality of care and unfair treatment by healthcare providers.10

What causes these disparities?

There are many causes of the health disparities faced by LGBTQ+ people. These include:

  • The minority status of LGBTQ+ people.
  • A lack of specific education and training for health care workers.
  • A lack of clinical research on LGBTQ+ health-related issues.
  • Restrictive health benefits.
  • Limited role models.
  • Fear due to stigma, discrimination, and institutional bias in the health care system.

What is Cigna doing to reduce these disparities?

Cigna understands the importance of addressing health disparities facing the LGBTQ+ population and is working to close these gaps. We are working internally to educate, train, and support our team members. And we’re working externally to support our customers, clients, and our network of health care providers.

Here are a few of the steps we’re taking to address LGBTQ+ disparities:

  • We’ve created a National Medical Director for LGBTQ+ Health and Well-Being role.
  • We’re expanding in-network access to transgender care.
  • We’ve provided specific training on LGBTQ+ health issues to over 600 Cigna clinicians, and resources are available to all in-network health providers on the Cigna website.
  • We’re educating our employees on LGBTQ+ health disparities, and have formed a LGBTQ+ Colleague Resource Group.
  • We participate in and support organizations and events such as the Gay and Lesbian Medical Association, Mautner project, Hetrick-Martin Institute, Philadelphia Transgender Health Conference, Hartford Gay & Lesbian Health Collective, Pride, and Out and Equal.

Finding the Right Health Care Professional

Finding a health care professional you’re comfortable with is important. Cigna members are offered tools to help search for in-network health care professionals by specialty and view health care professional details such as cost or quality information. You can also call the health care professional’s office to find out more information, including if they participate in your health plan’s network.

Cigna customers may go to to search for an in-network health care professional or facility.

LGBTQ+ Provider Resources

Other health care professionals may or may not participate in your health plan. Please check your plan’s directory or call the health care professional to find out if they participate in your health plan’s network.

  • The Gay and Lesbian Medical Association’s (GLMA) mission is to ensure equality in health care for lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ+) individuals and health care professionals. Visit for more information.


Eating Disorders Fear


Health Concerns for Lesbian and Bisexual Women Health Concerns for Gay and Bisexual Men Gay and Lesbian Medical Association (GLMA) PFLAG (Parents, Friends, and Family of Lesbians and Gays)

Back to Knowledge Center

Wilson, C., Cariola, L.A. 'LGBTQI+ Youth and Mental Health: A Systematic Review of Qualitative Research",, last accessed June 2, 2021.

Tobacco Education Resource Library. “Tobacco Use in the LGBT Community: A Public Health Issue", last accessed March 3, 2023.

3 Centers for Disease Control and Prevention. “HIV Among Gay, Bisexual, and Other Men Who Have Sex With Men”. (2018)., last accessed June 2, 2021.

4, "Who is at Risk for HIV?”, last accessed June 2, 2021.

5 SAGE. “The Facts on LGBT Aging”. (2018) [PDF]

Azagba, S., Shan, L., & Latham, K. (2019). “Overweight and Obesity among Sexual Minority Adults in the United States”. International journal of environmental research and public health, 16(10), 1828., last accessed June 2, 2021.

Stimpert, Tyler. “‘Coming out’ against Cancer: How Local Outreach to the LGBT Community Can Reduce Cancer Disparities.” Journal of Clinical Oncology, vol. 38, no. 29_suppl, 2020, pp. 131–131.,, last accessed June 2, 2021.

8 Baker, Kellen. “Cancer in LGBT Populations: Differences, Disparities, and Strategies for Change.” Oral Presentations - Invited Abstracts, 2020,, last accessed June 2, 2021.

Human Rights Campaign Foundation. The Lives & Livelihood of Many in the LGBTQ Community are at Risk Amidst COVID-19 Crisis. (2020), last accessed June 2, 2021.

10 Jennings, Linn, et al. “Inequalities in Lesbian, Gay, Bisexual, and Transgender (LGBT) Health and Health Care Access and Utilization in Wisconsin.” Preventive Medicine Reports, vol. 14, 2019, p. 100864. last accessed June 2, 2021.

Page Footer

I want to...

Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna


Individuals and Families Medicare Employers Brokers Providers

Secure Member Sites

myCigna member portal Health Care Provider portal Cigna for Employers Client Resource Portal Cigna for Brokers

The Cigna Group Information

About Cigna Healthcare Company Profile Careers Newsroom Investors Suppliers The Cigna Group Third Party Administrators International Evernorth

 Cigna. All rights reserved.

Privacy Legal Product Disclosures Cigna Company Names Customer Rights Accessibility Non-Discrimination Notice Language Assistance [PDF] Report Fraud Sitemap Cookie Settings


Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.

Selecting these links will take you away from to another website, which may be a non-Cigna website. Cigna may not control the content or links of non-Cigna websites. Details