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  • What does it cost for the HRT visits?
    -$100 one-time admin fee is due at the time you book the first appointment. -$38 per month is all you pay after that! Starting on the 3rd of the month following your first visit. This covers your visits with us as well as any other HRT related services we perform for you, like our messaging service and letter writing.
  • Do you accept health insurance?
    No. We apologize, but we do not at this time. Our reasons for this are many, the 4 main justifications are below: 1) Most health insurance companies right now do not reliably cover gender care services. And the ones that do tend to make it so hard for the patient to qualify for the coverage that ends up being the same as if they didn't cover it anyway. 2) Insurance companies change covered benefits every single year. So while the services may be covered one year, the next year it may not be covered. This creates absolute chaos and panic when patients depend on their insurance to cover these services, and then lose that coverage. 3) An interesting (and devious) thing about insurance companies is that they force healthcare providers into contracts that dictate exactly the kind of care they can give if they want to be reimbursed for their work. This results in a kind of "cookie cutter" hormone therapy that focuses on the lowest cost to the insurance company, where the patient's individual needs are not able to be met because of the inflexible contract the insurance company forces the provider to comply with. We would rather continue to provide individualized care the way it is meant to be than be concerned with only selecting the lowest cost hormone options so as to save money for the insurance companies. 4) Hateful lawmakers can easily outlaw insurance companies from covering gender affirming care. And with the ever-changing political environment right now, this is a distinct possibility. ***Those with insurance coverage may be interested in the service offered by Reimbursify. This business will file a claim with your insurance company for you to see if you can get reimbursed by your insurance for a visit with us. The first claim they file for you is free, and after that it is about $4 per claim. Look them up at https://reimbursify.com/individual-page/ -This will not work for Medicaid or Medicare, however. It is more geared towards commercial insurance policies.
  • How much do the medications cost?
    Cost varies if insurance is covering them depending on what your benefit allowances and copays may be. If paying out-of-pocket, then in general, medications cost between $10-$40/month. It is hard to put an exact cost on it because each pharmacy is going to have slightly different prices, so sometimes you might want to shop around a bit before settling on one. Another factor is that not every patient will be placed on the same medications and/or doses, and this can also make the prices vary. A good resource to investigate the prices of medications with is GoodRx. It is a handy phone app and website that you can use to research medication prices, and it also includes coupons you can use to lower your overall prescription price.
  • How much do labs cost?
    If using insurance: This amount can vary widely based on what your allowable benefits are and whether you have to pay a copay, meet a deductible, or pay a percentage. Contact your insurance company ahead of time to ask how they cover lab related claims. If paying out-of-pocket: Depending on type of hormone therapy (T or E) and how long you have been on HRT, the average cost falls somewhere between $50-$100 per lab panel through our lab partners, Quest & Labcorp.
  • How often are visits done with my healthcare provider?
    -If you have never been on HRT before, then you will do an initial appointment first to discuss and set your plan in motion. -After that, you will follow up 3-4 months later to get repeat labs ordered and discuss your progress. -Then, you will follow up every 6 months (but don't worry, you can always ask questions through our secure text app). -Some individuals may desire only yearly appts, and this is fine, but it goes by your own comfort level, and you can always return to more frequent appts. *Frequency can also be determined by your age, physical health, mental health, and stability of your hormone levels. The longer you have been on HRT, the less frequent your visits will likely need to be.
  • Do I have to be seen in-person at the clinic? Or can I do video chat?
    In most cases, video chat is perfectly fine. This can depend on many things, especially what your needs as the patient are. Some people are not comfortable unless they are sitting in front of a person while others are perfectly fine being seen from a distance. You must decide what is right for yourself in that regard when booking an appt with us. **Please note that in-person appts may be suspended during times of high threat levels (yes, it happens often enough)***
  • How do I schedule an appointment?
    Appointments are scheduled here through our website. Click on the "Appointments" tab in the site menu, select your state, and then select your appointment type. It will then ask you for your time zone, a date, and a time to select from our available openings. Afterwards, it will ask you some preliminary questions about yourself, and once you are done, you will submit the appointment request. Tadah!
  • What is a telemedicine video chat visit?
    Telemedicine is a convenient form of healthcare able to be performed via live streaming video chat sessions. It operates kind of like how FaceTime, Zoom, or Skype works. You and your healthcare provider will meet via a computer, phone, or other electronic device with video/audio capability. That way, you can complete your visit at home, bringing your healthcare directly into your living room!
  • Do I need a referral to be seen by this clinic?
    No. You do not need a referral. You do not need a mental health letter either. We believe in informed consent for starting hormone therapy, meaning that we educate you and you decide for yourself if you are okay with everything hormone therapy can involve.
  • I don't live in Mississippi, Arizona, or Colorado. Can you still see me?
    Yes, but it may require some extra effort for you due to current federal laws about licensing, visits, and type of medication (testosterone vs estrogen). If this is what you will be doing, please email the clinic ahead of time with some details about your situation to make sure you will be able to comply with those laws. Email at: spectrum@theotherclinic.sprucecare.com If we are able to accommodate you, we will usually try to space appts out every 6-12 months when someone does this so that they don't need to travel into the borders of one of our licensed states as often.
  • Can I ask questions in between appointments?
    Yes! We use a secure chat app by Spruce Healthcare to text, send pics & documents, and do video visits.
  • I'm not sure I'm ready to start. Is there a way to ask questions ahead of time?
    Sure! You can always email or text us on the clinic line for questions you have. Hormone therapy is not for everyone, so we want you to be comfortable when starting. Go to our Contact page on this site to message us ahead of time.
  • How old do I need to be to be seen by this clinic?
    We currently see those who are ages 18 and older. You will need to upload a copy/pic of your driver’s license (or other government issued ID with birth date) during the registration process to serve as proof of age and identity.
  • Will my health insurance cover my lab costs?
    Perhaps. Many will. But health insurance companies all provide different amounts of coverage benefits. *Check with them to see if you have a deductible before lab costs are covered. And you may also want to ask them if you have to pay a copay for labs, or a certain percentage of the lab costs overall. -Even if your insurance doesn't cover labs, there are other options. Just tell your provider. We are partnered with both Labcorp and Quest lab companies so that you can purchase labs through them for a reduced cost (average cost is between $50-$100).
  • How much are labs if I pay out-of-pocket?
    Depending on type of hormone therapy and how long you have been on HRT, the average cost falls somewhere between $50-$100 per lab panel through our lab partners, Quest & Labcorp.
  • Where do I get labs drawn?
    Depends on if you are covered by insurance or paying out-of-pocket: -If using insurance coverage, then you may be able to go to just about any lab that accepts your insurance. See our Labs page for more info. -If paying out-of-pocket, you will be going to a Labcorp or Quest location that we are partnered with. See our Labs page for more info. Either way, there are ample options available.
  • How often will I need to get labs drawn?
    It depends on the stage you are at, length of time on hormone therapy, your age, your overall health, and the stability of your hormone levels. In general, we do labs once before starting medication, then 3-4 months after starting medication, and then go to every 6 months when your hormone levels are stable (eventually going to every 12 months depending on your hormone level stability and personal comfort level).
  • Will my health insurance cover my medications?
    It may, but if you don't know, you should contact your insurance company and specifically ask them if they cover "gender affirming care" related services for transgender people. Even if they do "offer" coverage, many insurance companies make it so difficult to qualify for the coverage to actually be used that it is the same as if they didn't cover it at all. 🙄 *See our other FAQs questions for info on medication and lab costs out-of-pocket. Honest Advice: Plan for them to not cover it, then it will be a pleasant surprise if they do.
  • How much do the hormone medications cost if paying out-of-pocket?
    In general, medications cost between $10-$40/month. It is hard to put an exact cost on it because each pharmacy is going to have slightly different prices, so sometimes you might want to shop around a bit before settling on one. Another factor is that not every patient will be placed on the same medications and/or doses, and this can also make the prices vary. A good resource to investigate the prices of medications with is GoodRx. It is a handy phone app and website that you can use to research medication prices, and it also includes coupons you can use to lower your overall prescription price.
  • Where do I get my medications from?
    Depending on your situation, you may choose to pick up prescriptions from your local pharmacy or have them mailed to your house by a mail order pharmacy.
  • What medications do you prescribe for HRT?
    Of course, this will depend on the type of HRT you are choosing (testosterone or estrogen) as well as your transition goals and many other factors. But the general medications we routinely prescribe for HRT and HRT related issues are listed below and is not a complete and exhaustive list: Estrogen HRT: -Estradiol (pills, injections, patches, cream, etc). -Progesterone (pills, cream, etc. Injections not recommended but you can discuss the reasons with your provider). -Spironolactone -Bicalutamide -Finasteride -Dutasteride -Lidocaine topical (for hair removal procedures). Testosterone HRT: -Testosterone Cypionate and Enanthate (injections, cream/gel, patches, intranasal, etc). -Birth control pills, injections, and patches -Anastrozole -Tamoxifen/Raloxifene -Finasteride -Dutasteride *As mentioned above, this is not a complete and exhaustive list but just the routine things that can/may be prescribed.
  • How long until I start to see results from hormone therapy?
    Everyone is different, and some effects are more rapid in onset than others. It can also depend on the age at which you start. In general, it can take anywhere from 4-5 years to reach the maximal effect of hormones, but some effects can be seen within the first 3 months. Think of it this way: It is like a second puberty. You didn't go through your first puberty in less than a year, did you? The same rules apply here. Your body needs time to adjust and grow!
  • Are the effects of hormones permanent?
    Yes and No. Some effects, such as deepening of the voice or development of breast tissue, are permanent. But many effects are not. It can also depend on the length of time you have been on hormones. This is another topic you will be learning about during your visits. You can also check out our Youtube channel as we have a videos that covers this exact topic. A couple of examples are below:
  • What if I change my mind and want to stop hormones?
    That is, of course, your choice. And it is perfectly fine. You should inform your provider, though, so they can instruct you on how to safely taper off of hormone therapy so as to minimize any side effects and/or unpleasantness. One of our Youtube videos discusses stopping HRT:
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