How much does Plume membership cost?

Plume membership $99/month OR $40 with eligible insurance plans. Membership includes:

Gender affirming healthcare by a licensed medical provider who is an expert in trans healthcare

Digital video appointments with your medical provider, who will review your goals for your gender journey and work with you to establish a treatment plan

Prescriptions for gender-affirming medications as medically appropriate sent to our delivery* pharmacy or your local pharmacy 

These medications may include hormones (testosterone*, estradiol, progesterone), hormone blockers (spironolactone, finasteride, dutasteride), hair loss medications (finasteride/dutasteride), and sexual function support medications (sildenafil/tadalafil)

*Due to potential upcoming changes in Federal prescription law, all Plume patients who are using our partner pharmacy Empower for testosterone must find an alternative brick-and-mortar pharmacy to continue receiving their prescription. Click here to learn more.

Ordering, analysis, and cost of all recommended labs* (done at your local Quest Diagnostics and ordered by your Plume provider)

*For patients on testosterone: testosterone levels, Hemoglobin and Hematocrit (H/H)
*For patients on estradiol: estradiol levels, Testosterone levels 
*For patients on Spironolactone: basic metabolic panel (BMP), estradiol levels, Testosterone levels

Ongoing progress monitoring with quarterly evaluations and treatment adjustments to make sure you’re healthy and on track

Medical letters for legal name or gender marker changes

Medical letters of support for surgery

Access to a six-week series of support groups, guided by a facilitator from our community

Injection instruction and live injection support, to help you feel comfortable taking your medication

Access to your gender-affirming care team who can provide resources, guidance, and answer any questions in our app

Access to Member Resource Center

When will I be charged?

After you have paid $99 for your initial intake appointment, you will not be charged again until one month after your appointment day. After that, your membership fee of $99 will automatically be processed every month (members in New York, New Jersey, and Rhode Island pay $90/month, to offset their out-of-pocket costs for lab tests.) 

For example, if you signed up and paid on January 5 and scheduled an appointment for January 21, you would not be charged $99 again until February 21. The 21st of the month would become your payment date, so you would pay your membership fee every 21st of the month moving forward. If you ever want to change your payment date, just let us know the day of the month you prefer. We can easily adjust this for you!

Please note that if you miss your appointment, we will need to charge a $20 no-show fee to reschedule your appointment. This $20 fee is in addition to your $99 monthly membership fee and is in place to ensure our members are able to meet with a provider as soon as possible. 

Is the cost of medication included in my membership?

No, the price of your medications is not included in the cost of membership. Insurance or GoodRx coupons can help reduce the cost. You can reach out to your private insurance company to learn more about what they will cover. 

You can view the price list for medications from our delivery pharmacy here.

How much will my medication cost?

Most medications vary in cost, depending on your pharmacy, which prescriptions you want to fill, whether you have insurance or a prescription savings card, and many other factors. Estimating these costs can be challenging, so we recommend that you contact your pharmacy directly. Ask them to estimate your prescription costs, based on the name of the medication and dose. To get this information, you can refer to the messages you received from your provider after your appointment. Your care plan will include a list of your medications. If your prescription order was already sent to your pharmacy, it is easy for the pharmacist to  look up pricing information for you. 

If you want to use our delivery pharmacy, we created a calculator that includes shipping fees and makes it easy to estimate your monthly medication costs. You can review the price list here.

Is financial support available?

The HRT Access Fund, which is administered by trans organization Point of Pride, offers scholarships and financial support to people who need gender-affirming healthcare and other gender-specific support. The fund provides 12 months of free gender-affirming hormone therapy and medications via Plume to people who are selected to receive financial aidLearn more and apply here.

What payment methods do you accept?

You may use any valid Visa, Mastercard, American Express and Discover debit or credit card. We are unable to directly link bank accounts or accept ACH payments, checks, or wire payments.