Starting HRT By Provider and Location


1	Country	State	County	Provider	Requirements/Steps to start HRT (Please list sequentially and include how many appointments each step took)	Important Things To Know	Cost (Of Appointments and/or of Hormones)	Contact Info/Social Media Links (If you don't mind people contacting you with questions)	Year Started

2	USA	Az	Maricopa	AHCCS	Literally typed in hrt doctors near me and spectrum medical group I called and set up and appt. saw the dr and got my T gel	It will take a week to get approval from insurance			2021
3	USA	Arizona	Maricopa County	Blue Cross/ Blue Shield	Went to my doctor (specializes in trans stuff) asked how to start T Got a letter from my therapist, gave it to my doctor Picked up my prescription	I had to be diagnosed with dysphoria for 6 months before starting.	Insurance
4	United States	California		Kaiser	Info Session ("Transgender Orientation") [1 Appointment] Gender Assessment [3 Appointments] Endocrinology [1 Appointment]	Appointments may be a month/months apart Stay on top of them, if they don't call you back, call them back sooner rather than later Not all the staff has training on trans health care or know what appointments need to be scheduled, be prepared to get transferred to different people and departments	Info Session (Transgender Orientation)- Free Gender Assessment and Endocrinology- Copays Gel- Depends on Insurance can be as low as 5 dollars, it was 20 dollars for me Injections: Free to get done by a nurse at a clinic	Instagram: @clamhandsjensen	2020
5	United States	CA		Kaiser	Transgender Orientation (1) Gender Assessment (3) Endo (TBD)	Make sure to confirm you have the correct appointments, they don't all know what you need to do and they may give you the wrong things which slows it down a lot Call back if they don't call you when they said they would You can get your name and pronouns changed in the system but they don't usually use them The gender assessment can be invasive and is mainly the same questions multiple times Not all staff seems trained in trans issues (most don't, even fewer with nonbinary ids) Transgender orientation is in a group setting & mainly covers info trans people probably already know (ie what changes happen on hrt) Seems to be around 6 months before you even get to an endo depending on delays/ how many gender assessment appointments you get (should be between 1-3)	Appointment for transgender orientation(free group setting) Appointments for gender assessment (free, phone appointments)		2020
6	United States	CA	Orange County	UCI Gender Diversity Clinic	(Requires a recommendation from a therapist/psychologist/psychiatrist- I suggest getting one before your 1st app to speed up the process!) 1.) Introductory App - Asking general questions about you + identity. 2.) Provide a recommendation/mental health assessment 3.) Full body physical (Yes, including genital examination for some reason) - Receive Lab Orders. 4.) Go over completed labs, practice self-injection with saline, obtain HRT prescription 5.) Monitored first HRT injection!	The staff was great about using the correct name & pronouns, well educated on binary trans identities ( I am not experienced with the NB process), overall a great experience. The clinic is only open Wednesdays, and the first Wednesdays of the month are typically reserved for medical patients.	Blue Shield & Blue Cross Copay - $30-$60, depending on service/coding Labs - Approx $50-$100 Testosterone - Approx $15/mo	Instagram - @queergremlin YouTube - Queer Gremlin	2019
7	United States	California	Orange County	FolxHealth	Fill out intake online 15 or 30 minute meeting with clinician	Informed consent Intake questions are easy and noninvasive Hormones are shipped every 90 days Labs are infrequent	146 For Maintenance Plan and Testosterone Gel OR 196 For New Start and Testosterone Gel		2022
8	United States	Colorado	Larimer	Anthem	Doctor/2				2023
9	United States	Florida	Broward	Planned Parenthood	Started on the same day of the appointment, started with 1mg Estrodiol, 50mg spironolactone	The service was very nice, felt like a regular doctor's visit	120 for the appointment (no insurance) 20 total for the meds (with insurance)	Twitter @goophyass dm me specify a Google doc questionnaire	2021
10	United States	Florida	Hernando	Planned Parenthood of Southwest & Central Florida	Book initial intake appointment online. Attend appointment for assessment. And blood draw	Staff may not be versed on more uncommon sexualities or genders Informed consent means that no psychological assessment is necessary, nor any form of letter from a gender therapist	Appointment copay Blood work (ranges anywhere from just under a hundred dollars with insurance, to several hundred dollars uninsured) Hormones (typically $20-$40 for an anti androgen, $80-$120 for estrogen)
11	United States	Florida	Hernando	Planned Parenthood of SW and Central Fl	First appointment: informed consent paper work and initial blood work; Second appointment: first HRT shot and scripts	(Initial appointment May 23, second appointment/first shot June 06) After first shot appointments are about 3 months apart; first shot done at clinic in order to ensure it was done correctly but subsequent shots done at home Staff always friendly but not every clinic offers hrt Appointments can be made online to avoid phone calls	Co-pay: $20 Hormone cost fluctuates depending on pharmacy and type (shot vs gel)	plantcab.tumblr.com
12	USA	GA	Fulton	Erin Everett	1 appt implied consent	You will have a few initial charges that insurance doesn’t cover and you must take the injection training with fee before you can get injectable estrogen	250 initial		2018
13	United States	IL	Kane	Planned Parenthood	First appointment: meet with social worker, nurse, and clinician. Second appointment: injection training (if applicable)	If doing injections, you need to come back for a second appointment to learn how to inject
14	United States	Louisiana	Orleans Parish	Dr. Vivian Vu	Initial appointment/first patient appointment
15	USA	Massachusetts	Hampden	Planned Parenthood	Make appointment (I’m over 18), show up and answer questions sign papers, be medically cleared by dr, get prescribed T. I went back for another appointment with my new T vial and they showed me how to inject, and I gave myself my first dose in office. All following doses I’ll do at home. They gave me all the needles etc		My appointment had 0 copay because I have good insurance, my t was $16.47 at cvs I think maybe $60 pre insurance but I’m not sure	My Reddit is u/locomon0	2024
16	United States	Michigan	Oakland	Planned Parenthood	1. Telehealth appointment with friendly doctor who prescribed HRT after explaining the effects and informed consent process, they then sent the order to pharmacy and lab for blood work, was more simple and mundane than I thought. 2. Go get your blood drawn to make sure your blood levels ok before starting HRT (need to check levels every 3mo after starting HRT for the first year) 3. Go to pharmacy and pick up HRT vials/needles		Covered 70% by company insurance. Owed $50 out of pocket for the blood labs and HRT itself (4 1mL vials for ~$30)		2023
17	United States	Minnesota	Hennepin	Planned Parenthood	I scheduled an appointment for over the phone for less then a week out. At the appointment I spoke with a provider for about an hour then got a referral to speak with a different doctor the next day. The second appointment lasted about 1 hour with 2 doctors and I walked out with a prescription for estrogen and an anti androgen. In total it took 4 days.	The Lake street clinic is the main one and if I had started there I would have only needed one appointment.	It cost me about $150 per appointment. Insurance refused to cover my prescription so all told I spent about $150 for 3 months worth of meds and injections.
18	United States	Missouri	Ozark	Planned Parenthood Great Plains	Book appointment online. Attend appointment for assessment and prescription adjustment (sign in, fill out paperwork, go back for initial intake, speak with endocrinologist)	Informed consent means no form of psychiatric assessment or gender therapist letter is necessary Intake nurse mistook me for trans-masc when I was not, though overall staff were friendly and accepting	Appointment copay (N/A for me) Hormones ($25 for spironolactone, $120 for estradiol valerate)
19	USA	North Carolina	Randolph	Blue cross blue shield	none		unknown
20	United States	Oregon	Columbia	Dr. Cantone at OHSU	Informed consent - make an appointment with one of their trans providers (theres a list on their website - I went to cantone in scappoose) Sign forms at that appointment then make another appointment where you'll be able to actually start. (If you're over 18 - if under 18 its similar but you need an appointment specifically with their pediatric endocrinologist and have parental consent)	Informed consent and it was way easier than I thought itd be, cantone is super nice and her nurse that teaches you to do shots is extremely experienced with hrt	With my insurance it was $20 per normal appointment About $15 a month for the testosterone And the most expensive part is the lab tests which are $200-300 every 3ish months in the beginning, then eventually change to every 6 months	My discord is Lee#2946 Instagram is @leedniemi
21	United States	OR	Multnomah	UMC	3 appointments with a clinic		$170 / month with appointments and quarterly blood draw included	War_Outside on reddit	2019
22	United States	Tennessee	Davidson	Dr. Kristin M. Rager	Call for appointment Consult and blood work Second appointment to review blood work and get prescription Third appointment to learn to do my injection/ get first shot	Her practice currently only serves people under 30.	I have insurance, each appointment was about $150. She will work with you on a payment plan if you ask. The lab work is about $100. The lab is onsite and they're very trans-friendly I use goodrx at the pharmacy because my insurance isn't great. I pay $25 for a 3 month supply but it varies	ftmthrowaway666lmao on reddit. DM me or read my posts about my transition in Nashville.
23	USA	TX	Smith	UT Health	Told doctor, had to switch doctors, got a therapist, then hrt with 2nd doctor. Took a year.		About $80/month		January 2023
24	United States	Nationwide (services vary by state) / virtual	Any (Virtual Health)	FOLX Health	Online Form, online intake call or virtual chat, pharma by mail every 3 months.	https://www.folxhealth.com	Varies. https://www.folxhealth.com/membership		2023