Frequently Asked Questions
Find answers to common questions about our HRT services. Can't find what you're looking for? Contact us anytime.

General Questions

Process and Timeline
Yes! HRT@Home follows the informed consent model for HRT, which is the standard of care recommended by WPATH. This means you do not need in-person visits or extensive counseling sessions before starting HRT.
Our providers practice from states where informed consent is the standard, and they can prescribe medications to you through telehealth regardless of your state's requirements. All visits are done by video call from the comfort of your home.
Our goal is to remove unnecessary barriers to gender-affirming care while maintaining medical safety and informed decision-making.

Cost and Payment
Here is our price list for services:
- Initial visit: $125–$250 (with sliding scale)
- Follow-up visit: $45–$90 (with sliding scale)
- Medication cost: Depends on your plan, pharmacy, and whether you use your own insurance
- Lab cost: Depends on your plan and whether you use your own insurance
As a nonprofit, we work to keep costs as low as possible while providing quality care.
We do NOT accept insurance for several reasons:
- Insurance companies often deny or delay coverage for transgender healthcare, creating barriers to care
- Working outside insurance allows us to keep costs transparent and predictable for our patients
- It protects your privacy - insurance claims can create records that may affect future coverage or employment
- As a nonprofit, we can offer competitive self-pay rates without insurance company restrictions
However, we can provide detailed receipts (superbills) that you may be able to submit to your insurance for out-of-network reimbursement. You may also be able to use your insurance for lab work at Quest or LabCorp.
Yes. As a nonprofit, we work with partners like CE Repro to help fund patient care. We offer a sliding scale discount program (see below) to make care more affordable. We want everyone to get the care they need. Talk to us about your situation.
Need additional financial assistance?
If you need more help than our sliding scale can provide, check out this resource page for additional funding options:
Campaign for Southern Equality - Funding Your TransitionWe offer a sliding scale at 2 levels to make care more affordable:
- Slide 1: 25% discount on medical services
- Slide 2: 50% discount on medical services
Please note: These discounts apply only to medical visit costs (initial and follow-up visits). They do not apply to the cost of medications or lab work.
Need additional financial assistance?
If you need more help than our sliding scale can provide, check out this resource page for additional funding options:
Campaign for Southern Equality - Funding Your Transition
Medical Care and Safety

Medications and Delivery

Privacy and Support

Legal Questions
Yes, you can still receive care through HRT@Home. Our clinicians are based in and prescribe from states where HRT is protected and legal. They are authorized to send medications to patients in the states we serve.
Even if your state has passed restrictive laws, our providers can legally prescribe and send HRT medications to you because they are practicing from states with strong protections for transgender healthcare.
If you have concerns about your specific situation, please contact us to discuss your options.
Yes! HRT@Home follows the informed consent model for HRT, which is the standard of care recommended by WPATH (World Professional Association for Transgender Health). This means you do not need therapy letters or extensive counseling sessions before starting HRT.
Our providers practice from states where informed consent is the standard, and they can prescribe medications to you regardless of your state's counseling requirements. During your provider visit, we'll discuss the effects and risks of HRT to ensure you're making an informed decision.
Our goal is to remove unnecessary barriers to gender-affirming care while maintaining medical safety and informed decision-making.
HRT@Home operates completely within the law. Here's how:
- Prescribing from protected states: Our clinicians are based in and licensed in states where transgender healthcare, including HRT, is fully protected and legal.
- Legal medication delivery: Our providers are authorized to prescribe and send medications to patients in the states we serve, following all applicable federal and state regulations.
- Licensed providers: All our healthcare providers are fully licensed medical professionals in good standing with their state medical boards.
- Standard of care: We follow WPATH guidelines and the informed consent model, which is recognized as the appropriate standard of care for transgender healthcare.
Our clinicians practice from states where transgender healthcare is fully supported, enabling them to provide HRT services via telemedicine to patients across the country in accordance with applicable regulations.
Questions about your personal legal risk?
If you have concerns about your specific legal situation, these LGBTQ+ legal organizations offer free legal help and resources:
We're committed to making gender-affirming hormone therapy accessible to everyone who needs it, regardless of where they live. Some people choose us for the convenience of telemedicine, the expertise of our providers, or because local options have long waitlists.
Others appreciate our nonprofit mission and affordable approach. We're here to serve anyone seeking quality, compassionate transgender healthcare.
Still Have Questions?
We're here to help. Contact us anytime and we'll answer your questions.
