Plans & Costs

Our care is accessible and affordable.

Payment Plan

$79/month

Best for budgeting your medical costs and the lowest monthly cost for all HRT providers.

  • Individual treatment plan
  • 24/7/365+ access through web/app
  • All virtual and in-person visits
  • Ongoing progress monitoring
  • Written prescriptions*
  • All labwork
  • Letters for gender marker change
  • Medical letters of support for surgery ($50 admin fee)
  • Injection training and instructions
  • No set-up costs or hidden fees
  • Billed monthly starting from your first visit—no pre-payment required

Get Started Today

*Cost of medications not included
Lowest monthly cost available in the market

Insurance

Plan-specific

Best for taking advantage of your current healthcare plan to reduce out-of-pocket costs.

  • Individual treatment plan
  • 24/7/365+ access through web/app
  • All virtual and in-person visits
  • Ongoing progress monitoring
  • Written prescriptions*
  • All labwork
  • Letters for gender marker change
  • Medical letters of support for surgery ($50 admin fee)
  • Injection training and instructions

Get Started Today

*Cost of medications depends on your plan

Self-pay

$149-299/visit

Best if you are without insurance and not ready for a monthly membership.

$299 first visit
$149 follow-up visits
$99 labwork*

  • Individual treatment plan
  • 24/7/365+ access through web/app
  • All virtual and in-person visits
  • Ongoing progress monitoring
  • Written prescriptions**
  • All labwork
  • Letters for gender marker change
  • Medical letters of support for surgery ($50 admin fee)
  • Injection training and instructions

Get Started Today

*Some insurance plans may pay for labwork
**Cost of medications not included

Financial Assistance

TitleDescriptionLocation
Campaign for Southern Equality – Southern Trans Youth Emergency ProjectProviding grants, patient navigation support, and accurate information to impacted families in the South to ensure that youth can access the care they need and deserve, even in the face of oppressive lawsU.S.
Point of Pride – HRT Access FundProviding direct financial assistance to trans folks who cannot afford their gender-affirming hormone replacement therapy. Applications are open from June 15–July 31. U.S.
QMed Travel AssistanceQMed is offering travel assistance for minors in banned states by request. Contact us to learn more.U.S.
Trans Empowerment ProjectProviding financial assistance to trans* individuals for their hormone prescriptions and other life needsU.S.
We Are Family – Trans Love FundProviding funding for a full spectrum of needs for transgender people in South CarolinaSC

Please help us deliver much-needed transgender care to all –
including the most vulnerable.

Donate

Medication Costs

It’s often challenging to predict insurance coverage for specific medications. To estimate your out-of-pocket expenses, we recommend checking prices on GoodRx (or a similar discount site).

When looking up medications, here are the names and typical doses of commonly used medicines:

  • Testosterone cypionate (a 1ml vial typically lasts 2-4 weeks)
  • Testosterone gel (typical dose is 1.62%, 1-2 pumps/packets daily)
  • Estradiol tablets (typical dose is 2-6mg per day)
  • Estradiol patches (typical dose is 0.025-0.1mg/day, applied twice weekly)
  • Estradiol valerate injections (a 5ml vial typically lasts 2-3 months)
  • Spironolactone (typical dose is 200mg per day)
  • Bicalutamide (typical dose is 50mg per day)
  • Progesterone (typical dose is 100mg per day)

Insurance

Some important notes:

  1. Verify your annual deductible, as you might be charged the full price even if we accept your plan.
  2. It’s wise to call your insurance and confirm if Dr. Isabel Lowell is in-network, particularly for Blue Cross.
  3. Even if we don’t accept your insurance, your plan may still cover labwork and/or medications.

What’s an annual deductible?


Plans we accept:

  • Aetna
  • Amerigroup
  • Some Blue Cross plans
  • Caresource
  • Cigna (except for Cigna Local Plus and Cigna Connect)
  • Humana
  • Kaiser (under 18 only; requires a referral every 6 months from your Kaiser PCP)
  • Some Oscar plans
  • Peachstate
  • PHCS
  • United
  • Medicaid (Georgia only; under 18 only)

Plans we do not accept:

  • Ambetter
  • Medicare
  • Medicaid (except for Georgia and under 18)
  • Tricare
  • Cigna Local Plus
  • Cigna Connect

In these uncertain times, we want you to know: we are here for you, and we are not going anywhere. Our commitment to providing compassionate, affirming care remains unwavering. The recent surge in registrations speaks to the deep need within our community, and we are honored to be a trusted resource for you.

Due to overwhelming interest, you may experience delays in our communications over the next few weeks. We ask for your patience and understanding as we work tirelessly to help as many people as possible, as quickly as we can.

Thank you for your patience and trust. Your resilience inspires us every day.