What does HRT cost per month through an online clinic?

The cost of HRT through an online clinic can vary quite a bit depending on the specific clinic, the type of HRT (estrogen/progesterone for women, testosterone for men), and what's included in their packages.

Generally, you can expect to pay anywhere from $75 to $250+ per month for HRT through an online clinic. This usually breaks down into a few components:

1. Consultation/Membership Fee: This covers the doctor's visits, ongoing support, and prescription management.
2. Medication Costs: The actual hormones themselves.
3. Lab Work: Initial and follow-up blood tests.

Here's a breakdown by common offerings and specific brands:

For Men (Testosterone Replacement Therapy - TRT)

Many online clinics cater specifically to men seeking TRT. These often have subscription models that include consultations and medication.

• PeterMD: Offers various TRT programs starting around $99-$129 per month for medication and consultations. Lab work is typically an additional cost (initial labs might be $100-$200, follow-ups less frequent). They focus on comprehensive male health.
• Marek Health: A more premium, comprehensive option. Their programs can range from $150 to $300+ per month depending on the complexity of treatment and medication. This often includes more detailed consultations and a wider range of medications, but labs are separate.
• Hone Health: Offers a subscription model that often includes consultations and medication (typically injections or creams). Plans can start around $120-$175 per month, with labs being an additional fee (initial labs around $150-$200). They aim for a convenient, integrated approach.
• Hims / Roman: While primarily known for ED and hair loss, they also offer lower-dose testosterone options (often topical gels). Costs for TRT through them can be around $90-$150 per month, but their TRT offerings are generally less comprehensive than specialized TRT clinics.

Typical breakdown for Men's TRT:

• Membership/Consultation: $50 - $100 per month (or quarterly fees averaged out).
• Medication (Testosterone): $30 - $150 per month (injections are generally cheaper than gels/creams).
• Lab Work: $100 - $300 for initial comprehensive labs, then $50 - $150 for follow-up labs (usually 2-4 times a year, so average $10-$50/month).
• Total Monthly Range: $90 - $250+ (once initial labs are done).

For Women (Menopause Hormone Therapy - MHT/HRT)

Online clinics for women's HRT often focus on addressing perimenopause and menopause symptoms. They typically charge a consultation/membership fee, and medications are usually filled separately (which may or may not be covered by insurance).

• Evernow: Offers a subscription model around $39 per month for unlimited provider messaging, prescription management, and adjustments. This does not include medication costs or lab fees, which are billed separately to your insurance or paid out-of-pocket (meds can range from $20-$100+ per month depending on type and if generic). They specialize in menopause care.
• Midi Health: Similar to Evernow, they charge a flat consultation fee, often around $79 for an initial visit and $45 for follow-ups, or a monthly membership around $99 for ongoing care. Like Evernow, medication and lab costs are separate. They focus on personalized care for perimenopause and menopause.
• Alloy: Offers a one-time consultation fee (around $79) and then the cost of medication. Their medications are shipped directly, and prices vary (e.g., estradiol patches $45/month, estradiol pills $35/month, progesterone $35/month). They specialize in direct-to-consumer HRT prescriptions.
• Hello Alpha (now Alpha Medical): Provides a range of telehealth services including HRT. Consultations can be around $30-$50 per month (or a flat visit fee), with medication and labs being separate costs. They offer a broader range of primary care services in addition to HRT.
• Gennev: Offers virtual visits starting around $45-$65 per visit or a membership fee. They focus on menopause management, but again, medication and lab costs are additional.

Typical breakdown for Women's HRT:

• Membership/Consultation: $30 - $80 per month (or visit fees averaged out).
• Medication (Estrogen/Progesterone): $30 - $150 per month (depending on generic vs. brand, patch vs. pill vs. cream, dosage).
• Lab Work: $75 - $250 for initial, then $40 - $100 for follow-ups (typically once a year, so average $5-$20/month).
• Total Monthly Range: $75 - $250+ (once initial labs are done).

Key Factors Affecting Cost:

• What's Included: Some clinics bundle everything (consults, meds, labs), while others separate them. Read the fine print!
• Medication Type & Dosage: Injections are often cheaper than gels/creams for testosterone. Patches can be more expensive than pills for estrogen. Compounded hormones are usually more expensive.
• Generic vs. Brand Name: Generics are always more affordable.
• Pharmacy Choice: Some online clinics have their own pharmacy, others send prescriptions to your local pharmacy. Using discount cards like GoodRx can save money on medications.
• Insurance Coverage: Most online clinic membership fees are not covered by insurance. However, if the clinic sends your prescription to a regular pharmacy, your medications and lab work might be covered by your health insurance.

Recommendation: I highly recommend checking the specific website of a few clinics that appeal to you and looking for their detailed pricing pages or contacting their support to get a clear quote based on your needs.