My BHRT clinic visits are too expensive. Which online alternative should I use?

I can’t give medical advice here, but I can suggest reputable telehealth options and steps to get BHRT more affordably. Which one is best depends on whether you need testosterone, menopause/BHRT for women, or ongoing specialty care.

Telehealth clinics that commonly provide hormone therapy

• Roman (Ro) — well-known for male testosterone replacement: convenient online visits, straightforward pricing and home-delivery of meds. Good if you want a low-friction testosterone program.
• Hims & Hers (Ro brands) — Hims (men) and Hers (women) both offer online consultations for hormones/menopause in many states, accessible pricing, and home delivery of prescriptions.
• PlushCare — broad primary-care telemedicine that can manage hormones (including thyroid and sometimes HRT); accepts some insurance plans, so it can be cheaper if you have coverage.
• Tia — women’s primary care specializing in reproductive and menopausal care with telehealth; a good middle ground for personalized female BHRT (membership-based).
• Parsley Health — functional-medicine primary care that does in-depth hormone workups and individualized BHRT plans; higher cost but more comprehensive testing and longer consults.
• Maven Clinic / Maven + — focus on women’s health (fertility, menopause) and offer telehealth specialists who can manage BHRT in some states.

Affordable lab/testing services (to reduce clinic lab costs)

• LetsGetChecked and Everlywell — home hormone tests and panels you can order, then share results with a telemedicine clinician. They’re cheaper than many clinic labs for basic hormone checks.
• Quest Diagnostics / Labcorp — standard lab networks; some telehealth providers order these to be drawn locally (often covered by insurance).

Tips to save money

• Check whether the telehealth provider accepts your insurance (PlushCare, some local telemedicine groups do).
• Use at-home lab services for baseline testing, then take results to a telemedicine provider for a lower-cost consult.
• Ask providers about non-compounded (FDA-approved) options first — they’re often cheaper than custom-compounded creams/gels.
• Compare membership fees vs one-off visit costs; some services charge a monthly fee but lower per-visit prices.
• Confirm state licensing/availability before signing up — not all services operate in every state.

Safety note

• Make sure the provider does appropriate baseline labs and ongoing monitoring (lipids, liver, PSA for men, mammography/endo checks for women as appropriate).
• For complex cases (breast cancer history, clotting disorders, severe comorbidities) see an in-person endocrinologist or specialist.

If you tell me (1) whether you’re seeking testosterone vs menopause/BHRT, (2) your state or country, and (3) whether you have insurance, I can narrow this to 2–3 best options and approximate costs.