What does HRT cost per month through an online clinic?

The cost of HRT (Hormone Replacement Therapy) through an online clinic can vary significantly depending on the specific service, the type of HRT, and whether medication and lab tests are included in the monthly fee.

Generally, you can expect to pay anywhere from $30 to $150+ per month. This often breaks down into two main components:

1. Clinic Membership/Consultation Fee: This is the fee for access to the telehealth platform, consultations with doctors, and prescription management. This is typically a flat monthly or quarterly fee.
2. Medication Costs: This is the cost of the actual hormones. This can vary based on the type (pills, patches, injections, gels), dosage, and whether you use insurance or a cash price at a pharmacy. Some clinics bundle medication, others require you to fill prescriptions separately.
3. Lab Tests: Blood tests are essential for monitoring hormone levels and overall health. These can be included in a higher-tier membership, offered at a discount, or be an additional out-of-pocket expense.

Here are some specific online clinics and their typical cost structures:

• Folx Health:

  • Why: Specializes in gender-affirming HRT (estrogen or testosterone) for trans and non-binary individuals. They offer an informed consent model and focus on LGBTQIA+ care.
  • Cost: Typically around $80-$100 per month for their membership plan. This often includes consultations, prescriptions, and sometimes even labs or medication discounts through their partner pharmacy. Medication costs can be separate, adding ~$10-$30+ without insurance depending on type.

• Plume:

  • Why: Similar to Folx, Plume provides gender-affirming HRT (estrogen or testosterone) with an informed consent model. They emphasize accessibility and support for the trans community.
  • Cost: Their membership is generally $99 per month. This covers ongoing care, lab requisitions, and letters for name/gender marker changes. Medication costs are separate and depend on your pharmacy and insurance.

• Evernow:

  • Why: Focuses specifically on menopause and perimenopause care for women. They connect you with menopause-certified doctors who can prescribe HRT tailored to your needs.
  • Cost: Around $39-$49 per month for their membership. This includes unlimited access to their clinicians. Medication costs are separate and filled at your local pharmacy (insurance typically applies).

• éna (or similar TRT clinics like PeterMD, Marek Health):

  • Why: These clinics specialize in Testosterone Replacement Therapy (TRT) for men. They often offer comprehensive programs that include consultations, lab tests, and medication management.
  • Cost: Can range from $99 to $150+ per month. This often includes the consultation, labs, and the cost of testosterone medication (injections, gels, etc.). Costs can vary significantly based on the specific plan and included services.

• Hims / Hers / Ro:

  • Why: These are broader telehealth platforms that offer various wellness services, including some HRT options (e.g., TRT for men through Hims, some estradiol options for women through Hers/Ro). They are generally convenient for straightforward prescriptions.
  • Cost: Consultation fees can start around $30-$50 per month, with medication costs added on top. A total monthly cost for HRT might be similar to specialized clinics, but the structure varies.

Key things to consider when looking at online HRT costs:

• Insurance Coverage: Many online clinics do not directly accept insurance for their membership fees, but your insurance may cover the cost of medications prescribed by them at your local pharmacy, and often lab tests.
• Initial Consultation Fees: Some clinics may have a separate, one-time initial consultation fee in addition to the monthly subscription.
• Type of HRT: Different hormones (estrogen, testosterone, progesterone) and different delivery methods (pills, patches, injections, creams) can have varying medication costs.
• Included Services: Be sure to check what's covered: physician visits, lab tests, medication delivery, unlimited messaging, etc.

Always visit the specific clinic's website for the most current and accurate pricing information, as costs can change.