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Prince Edward Island is part of Canada. See Canada.
Health PEI says under-16s contact a family physician or nurse practitioner for referral to a pediatrician. The same page lists coverage for puberty blockers (it says puberty suppression) and opposite-sex hormones. People 16 and older can discuss opposite-sex hormones with a primary-care provider or, if they have no provider, self-refer to the Gender Affirming Clinic in Charlottetown.
The coverage page says PEI Medicare covers puberty blockers (it says puberty suppression) and opposite-sex hormones, after written approval from the Gender-Affirming Procedure Approval Committee. That is a province-led coverage rule.