A maximum of six (6) teams are qualified by the FIVB/NORCECA ranking, plus the points earned as results of the past 2019 XVIII Norceca Senior Women Pan- American Cup to participate in the 2021 Norceca XIX Senior Women Pan American Cup, Final Six.
Dominican Republic qualified as the host nation, and the remaining 5 qualifying teams are the top 5 in the NORCECA continental ranking as of January 1, 2021.[2]
No South American teams participated as this tournament coincided with the South American women's championships.