Access Gender-Affirming Care in South Dakota
Care for trans people, by trans people, directly from your phone.
Plume Membership
+
Per Visits
$99/mo all inclusive
Plume Membership
What’s Included:
- Transition and gender-inclusive health educational resources
- Support groups and opportunities to connect with others in the trans community
- Recommendations of local and national organizations for other aid or assistance
- Access to exclusive partnerships and discounts
+
Up to 5 Monthly Visits
What’s Included:
- Video appointments with a healthcare provider
- Provider-written prescriptions for related medications
- Ordering, analysis, and cost of certain labs in states that are applicable
- A trans-focused clinical team to support you at every step
- Letters of support for surgery, name or gender marker changes
- Ongoing medical progress monitoring
*Membership includes appointments and select lab costs. Prescription costs are not included.
You must be 18 years old or older to access Plume services. Some states have additional restrictions on age or services available.
Plume Membership
Join now for $99/month*
Your Plume Membership Includes:
- Virtual, gender-affirming care with trans-informed providers
- Estrogen+ prescriptions*
- Treatment-specific lab orders and analysis*
- Letters for name or gender marker changes
- Medical letters of support for gender-affirming surgeries
- Access to our six-week support series led by members of the trans community
- Trans-led care team, available at every step of your journey
*Membership includes appointments and select lab costs. Prescription costs are not included.
You must be 18 years old or older to access Plume services. Some states have additional restrictions on age or services available.
One-time
Letter of Support
$150 one-time fee
- One digital video appointment with a healthcare provider
- A one-time medical letter* of support for surgery with a one week turnaround time
- Access to your trans-led care team through our app
*Please note we cannot provide a behavioral health letter of support from a therapist at this time. Letters are included for active members.
Trans-led healthcare
From gender-affirming hormone therapy and transition support to medications for anxiety and depression, it can be hard to find one clinic or doctor who understands how to care for you. That’s why we founded Plume, a virtual home for transgender, nonbinary, and gender non-conforming people.
We offer a range of healthcare services, including prescriptions for estrogen or testosterone. At Plume, you can be your authentic self and get the gender-affirming care you need. You don’t have to teach your doctor how to care for you—instead, you can let your Care Team support you with a unique care plan that is customized to your transition goals.
We’ll always respect your gender identity, pronouns, name, and gender expression, and we’ll always put your wellness first. We’re here for you when you’re ready.
Appointments In Days, Not Months
Plume doesn’t impose arbitrary gatekeeping like therapists letters or barriers to life-saving care. Membership with Plume provides everything you need to start, continue, and maintain your gender-affirming hormone treatment. We know everyone has different goals for their transition, and we’re here to help you navigate your journey.