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I can help — but first: is your BHRT for menopause/perimenopause, male testosterone replacement, or gender-affirming care? Different services specialize in each. Below are reputable online options by use case, with why people choose them and what to check before switching.
If your BHRT is for menopause/perimenopause (bioidentical estrogen/progesterone, pellets, creams, etc.)
- Elektra Health — menopause-focused telehealth; clinicians experienced with BHRT, lab monitoring included, transparent plans. Good if you want a women’s-health specialist approach.
- Balance (balance-menopause.com) — focused on perimenopause/menopause care, offers personalized BHRT plans and symptom tracking; known for user-friendly membership model.
If your BHRT is male testosterone replacement (TRT)
- Vault Health — telemedicine TRT program with home lab kits, clinician oversight, and in-app monitoring; often lower ongoing cost than in-person clinics.
- Roman (R/MD) — widely used for testosterone therapy, easy startup + discrete delivery; good for straightforward TRT with clear pricing.
If your BHRT is gender-affirming (transgender HRT)
- Folx Health — specializes in trans and nonbinary care, offers HRT with options for insurance billing and culturally competent clinicians.
- Plume — trans-affirming telehealth for hormones, strong patient support and follow-up.
General telemedicine options that also prescribe HRT
- Hims & Hers — broad telehealth platform with hormone therapy options for men and women; easy signup and lower cost tiers but check if they meet your specific BHRT needs.
- PlushCare or Lemonaid Health — general telemedicine practices that can manage HRT in many states, often with lower visit fees than specialty clinics.
What to check before you switch
- State licensure: provider must be licensed in your state.
- Labs and monitoring: confirm included baseline labs, routine follow-up labs, and how often monitoring occurs.
- Type of hormones: confirm they prescribe the specific bioidentical formulations you want (pellets, compounded creams, compounded vs. FDA-approved bioidentical estradiol, etc.).
- Pharmacy: do they use accredited pharmacies/compounding pharmacies (USP certification)?
- Costs: compare consult fees, lab fees, medication cost, shipping, and whether they bill insurance.
- Safety & follow-up: ensure a clear plan for dose changes and adverse effects.
If you tell me which type of BHRT you need and what state you’re in (or whether you want to use insurance), I can narrow these to the best match and compare pricing/options for you.