Plume
Gender-affirming hormone therapy for the transgender community — private, nationwide.
Quick facts
Price
$99/mo
Insurance
out-of-pocket, hsa-fsa
States
All 50 states
Medications
Not reported
Service model
Not reported
Coaching
Not included
FDA-approved only
No
How Plume compares
Plume and Folx Health are the two largest trans-focused HRT telehealth platforms. Plume focuses narrowly on HRT and gender-affirming documentation at a flat $99/month, which is cost-predictable. Folx Health adds PrEP, mental health, primary care, and STI services and accepts more insurance plans. For patients whose primary need is HRT management at a predictable cash-pay rate with comprehensive letter-writing support, Plume is well-suited. For patients who want a broader LGBTQ+ healthcare home or who want to use insurance, Folx Health offers more.
About
Plume is a telehealth platform dedicated to gender-affirming care for transgender and non-binary individuals, with a primary focus on hormone replacement therapy (HRT). Founded in 2019, Plume operates in all 50 states and has treated over 40,000 patients, making it one of the largest gender-affirming care telehealth providers in the US. Plume prescribes estrogen, testosterone, progesterone, and related HRT medications using an informed consent framework — patients work with a clinician to discuss goals and risks and consent to treatment without requiring a therapist letter or psychiatric evaluation. The $99/month membership includes unlimited messaging, prescription management, lab order monitoring, and letters for name and gender marker changes on legal documents. Plume ships medications directly to patients through mail-order pharmacy partnerships for added privacy. While Plume focuses specifically on HRT and gender-affirming documentation, it does not provide primary care, mental health services, or PrEP — patients with broader healthcare needs may need to supplement with additional providers. For trans and non-binary patients who want a dedicated, affirming HRT provider at a flat monthly rate, Plume offers a streamlined and cost-predictable model.
What's Included
Convenience
Pricing
Plume charges $99/month, which covers all visits, prescription management, lab order review, and documentation letters (name/gender marker changes). Insurance is not billed for the platform; some prescriptions may be covered by insurance if filled externally. HSA and FSA funds are accepted.
Who this is best for
Transgender and non-binary individuals seeking gender-affirming hormone therapy at a predictable monthly rate — particularly those who want a simple, subscription-based model with included documentation support and discreet mail-order prescription delivery. Plume is valuable for patients in states with limited in-person gender-affirming care providers.
What to expect
After joining Plume, you complete a health intake and schedule a video visit with a Plume clinician. The visit covers your transition goals, health history, and informed consent for HRT. If appropriate, your prescription is sent to a mail-order pharmacy and shipped to you within days. Monthly or quarterly check-ins review labs and adjust your protocol as needed. Documentation letters for legal name and gender marker changes are included at no additional cost.
How to book
Visit getplume.co and sign up for a membership. Complete the health intake form and schedule your initial consultation. After your visit, your prescription is sent to a mail-order pharmacy.
Seeing patients in 50 states
Telehealth providers must be licensed in the state where you are located. If your state is not listed, this provider cannot legally see you.
Insurance accepted
out-of-pocket · hsa-fsa
Contact the provider to verify your specific plan before scheduling.
Also accepts self-pay patients.
Pricing
$99/mo
Pricing is based on publicly available information and may vary.
Details
Average wait: Same week
Frequently asked questions
What is Plume?
Plume is a telehealth platform providing gender-affirming hormone therapy (HRT) for transgender and non-binary individuals. The $99/month membership includes prescriptions, ongoing monitoring, and letters for name and gender marker changes.
Does Plume use informed consent?
Yes. Plume uses an informed consent model — patients discuss goals and risks with a clinician and consent to treatment without needing a therapist letter or psychiatric evaluation, in states where this is legally permitted.
What states is Plume available in?
Plume operates in all 50 states and the District of Columbia.
Does Plume accept insurance?
Yes, Plume accepts the following insurance plans: out-of-pocket, hsa-fsa. Contact the provider directly to verify coverage for your specific plan. They also accept self-pay patients.
What states does Plume serve?
Plume is licensed to see patients in 50 states: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming. Telehealth providers must be licensed in the state where you are physically located during your visit.
How do I book with Plume?
Visit getplume.co and sign up for a membership. Complete the health intake form and schedule your initial consultation. After your visit, your prescription is sent to a mail-order pharmacy.
What conditions does Plume treat?
Plume specializes in Hormone Therapy (HRT/TRT). Visit their profile for more details on the specific services and conditions they treat.
Get started
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Information on this page, including pricing, insurance acceptance, and state availability, is subject to change. Please confirm all details directly with the provider before making healthcare decisions.
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