Then why not treat hormone therapy as any other medication, subject to copays and deductibles?    The vast majority use it for birth control, btw.  And no one is telling women they can't use hormone treatments for this purpose, but because some of those have the effect of preventing pregnancy, and causing early termination of a pregnancy, a very tiny fraction of employers object to paying for it. And those employers aren't anywhere near the only available jobs. Even Hobby Lobby, which won their fight about this, covers 16 forms of birth control which, surprise! can be used to treat hormonal issues.