Live your authentic life.

Gender-affirming hormone therapy from your phone.

Why We're Different



First-in-class, evidence-based medical care.​



Virtual care from your smartphone.



Confidential experience at every touchpoint.



Our trans and queer-led team is here to support you.

Redefining Healthcare

We believe healthcare should be easy, convenient, and center the unique needs of the trans community. If you are trans, it doesn’t always mean you need or desire gender-affirming hormone therapy (“GAHT” or “sometimes known as “HRT”), but if you do, we are here to help. You are our priority.

Direct Access

Plume’s trans-specializing medical providers are available for questions, appointments, and information from the convenience of your smartphone. No phone trees. No leaving messages with the front desk. We promise!


Membership provides everything you need to begin your gender-affirming hormone therapy journey or maintain your routine.

Monthly Membership


 *Membership includes issuing the prescription to your local pharmacy, but does not cover the cost of medication. Out-of-pocket cost of medication varies from $5 – 50. Insurance may cover the cost of medication, but not the cost of membership.

One-Time Letter Service

We’re excited to offer a letter writing service for non-members of Plume** seeking a medical letter of support for surgery.

One-time Letter of Support


 **Letters are included for active members.

Meet Your Care Team

Jerrica Kirkley, MD


Co-founder and Chief Medical Officer

 Dr. Jerrica is a trans woman, physician and educator. She has been both a patient and provider of gender-affirming hormone therapy (GAHT) and has provided training across the country on gender-affirming care. She started Plume to radically increase access to gender-affirmation services.

Meet Our Medical Team

Our diverse and dedicated team is here to support you along every step of the journey, no matter where you are in the process.


4 years on HRT

 “My care team was wonderful, I had never been seen by a transgender medical provider before, a very uplifting and empowering experience, I had no doubt that she would be able to provide exactly what I needed.”


– Kai Hill

1 year on HRT

 “I had 90-day gap, between when my job would start insurance. Since I am not a policy-maker it was easy to misunderstand the plan. Plume made it simple, HRT was covered and I could get on with my life. “


– Altia Cruz

Just started HRT

 “Plume made a big difference, I got first blood work, since I’ve been off medicare it has been hard to get blood work.  Other services they offer are amazing. The only of its kind.”


– Zoey Brown

Pay It Forward: The HRT Access Fund

We have teamed up with Point of Pride, a trans-led nonprofit, and YouAreEssential, a Black trans-led organization, to create access to free care through our service to underserved trans individuals.  The HRT Access Fund provides 12 months of free gender affirming care, including the cost of medications, for trans folks seeking gender-affirming hormone therapy (GAHT). 

Funds raised through the Plume x YouAreEssential campaign will be the first to be distributed to Black trans folks in need of hormone therapy. We are working to increase access to as many trans people as possible. With your help, we can provide free care via Plume to underserved community when they need it most. Every dollar contributed goes directly to a trans person’s care. Donate below.