Medical offices... Geez, can't they get their acts together?
I got outed today, in public, by the Kaiser pharmacy. My records all indicate I'm a transwoman (HMOs and their electronic records...), and my assigned gender is "Male[2]". Yeah, a footnote that says I'm Michelle, a "transwoman (pre-op)". Still, most of the staff is trained to see and respect the footnote. Everyone in the Psych department uses the female name and pronoun. The endocrinology department stumbled a bit, but they were making an honest effort.
And then there's the pharmacy... I'm there to pick up my spironolactone and estradiol (guess what these are for...), so I check in, and wait for my name to appear on the board, at which time I'm supposed to queue up to pay and get the Blessing of the Pharmacist.
So I'm waiting, and this stentorian voice calls out "Michael P!, Michael P!" Uh oh. Now, I looked pretty much like my avatar. So... I turn and walk over to the counter. "Was someone just calling for Michael P?" Pretty much everyone is watching now. I'm getting clocked left and right. "It's French, and pronounced Michelle P." Pharmacy dude bro is confused. "Are you Michael P?" "Oui, Michelle P, s'il vous plait". Pharmacy dude bro stops shouting for Michael and gets his boss, a tiny little pharmacist who saves the day with "Oh, you're picking up for Michael. OK."
Like Cindi says, though, they can't cancel my insurance. They'll just have to deal with us when we show up. Sometimes I think we need to be more "out there" and educating the public about our existance, rather than hiding. That has painful downsides, though.