HRT costs through an online clinic per month typically range from $79 to $200 for an all-in subscription plan that includes consultations and monitoring, though pay-per-visit models can cost significantly less if you only pay for the initial appointment (e.g., $49–$259) plus separate medication fees. Here’s a breakdown of the main cost structures: Clinic Model Monthly Cost Range What’s Included Subscription (All-in) $79–$200/month Regular consultations, monitoring, provider messaging, appointment scheduling; medication billed separately in cheaper tiers, or bundled in higher tiers [2][4] Subscription (Medication Included) $177–$229/month Consultations + medication (e.g., Hone Health) [4] Pay-Per-Visit $49/appointment + $20–$60/month meds One-time consultation fees; no monthly membership; medication paid at pharmacy [1][3] Low-Cost Clinic Access $12/month (Premium membership) Provider directory access; medication, shipping, taxes extra [7] Medication Costs (Typical Monthly Out-of-Pocket) Estrogen pills: $10–$30/month [4][6] Estradiol patches: $26–$168/month (generic ~$30–$60 with discount card) [4][6] Progesterone: $9–$79/month [4] Gels/creams: $15–$30/month (UK) or up to $250/month (US, without insurance) [8][4] Recommended Online Clinics LifeMD: Offers bundled plans starting at $66/month (with 10% off for 3+ months); pay-per-visit also available [2] Hone Health: All-in menopause HRT plan at $177–$229/month including meds and monitoring [4] True U Clinic: No monthly fees; pay $259 for initial visit, then $20–$60/month for meds [3] The Online GP (UK): £49 consultation + £15 prescription fee; meds cost £10–£40/month [1] 💡 Tip: If you have insurance, check whether it covers consultation fees or medications—many patients reduce out-of-pocket costs to $30/month or less with copays [2][9]. Overall, choose a subscription model if you want consistent care and monitoring, or a pay-per-visit model if you prefer flexibility and lower guaranteed monthly costs.
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