My profile is far too public for direct information posting. As usual I will say St Louis, MO area. My specific area is quite conservative...that's documentable from the city hall sharing a building with a Catholic convent to specific politics. Yet for me and a few other TS women I know, we function just fine in the area. Is it a matter of: are we are so rare here people may not even know who TS people are? I dunno. (One has been on a national network TV documentary on TS living.)
Further, my employer sponsored insurance has covered most care, and I have retained my job.