Cost of Plume compared to out-of-pocket and insurance

Get Started With Plume

Dane Menkin, MSN, CRNP

(he/him)

Dane has deep experience in gender-affirming care (over 10 yrs), was the previous clinical director of operations at the Mazzoni Center and now the director of LGBTQ services at Mainline Health.

Jenny Fernandez, RN

(she/her)

Jenny Fernandez works as a virtual registered nurse for Plume, she handles Curexa Pharmacy tasks and prescriptions. She aims to contribute to the clinical team by giving 100% in every possible aspect of her work. She is a strong advocate for becoming the best version of ourselves. This is one of the reasons why she chose to work with Plume, because like Plume, she believes that everyone deserves to live their fullest life. During her free time, Jenny trains Brazilian Jiu Jitsu to develop discipline and peak health. She also loves learning new things to gain perspective and understanding of people she encounters, whether through work or daily life.

Toni Ramirez, MD

(she/her)

Dr. Toni is a family physician trained in Northern California. A queer Tejana from the border town of El Paso, Texas, her work in healthcare is strongly grounded in social justice and equity. She has been providing Gender Affirming Care since 2016 and as a cis female, she actively centers humility in her work. Founder of a physician advocacy organization, she is always eager to hold a megaphone to speak truth to power. Toni serves Plume patients in California and soon in Texas!

Joshua Yap, MD

(he/him)

I’m Dr. Josh, and I am honored to be entrusted with your care. As someone who found it difficult to be myself with doctors, it is really important to me that everyone is able to find a healthcare provider that they can feel comfortable and honest with. Because of this, I sought to learn from the best at Montefiore Medical Center, Fenway Health, and directly from the trans community. Since then, I have worked on LGBTQ quality improvement projects at primary care clinics, provided care with Planned Parenthood, and created curriculum to teach new primary care doctors how to provide care to the trans community. In addition to gender affirming care, I am an HIV and sexual health specialist. My experience has taken me across the country, and it’s given me a unique insight on challenges patients have just to get health care based on where they live. It has also taught me not to take living out and proud for granted. It is my commitment that I will continue to listen and learn from the trans community.

When I’m not with patients, I enjoy making music, playing tabletop games, and cooking for my family – right now that consists of a partner, a dog, several ducks, chicken, and quail, and a robo-vacuum named Alberta. When things get tough, I remember a quote from a great drag queen: “Everything works out in the end. If it’s not working out, it’s not the end.

Lewis Simpler, NP

he/him

Lewis is a transgender man and Nurse Practitioner who has been providing gender-affirming care in a variety of settings including community health and chemical dependency treatment centers since 2014. His favorite activity is hiking mountains on the island where he grew up.

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Montida (Mai) Fleming, MD

(she/her)

Dr. Mai is trained in Family and Community Medicine, and within that scope also practices addiction medicine and reproductive healthcare. She has dedicated her studies and training to provide gender-affirming care. She is an active ally to the trans and gender expansive communities in her professional and advocacy work and personal life.

Arlynn Lozano, RN

(she/her)

Arlynn Lozano (she/her) works as a Virtual RN for Plume, she takes care of electronic prior authorization and follow up calls to pharmacies. She enjoys binge watching Netflix series during her days off.

Sylvan Harris

(he/him)

Sylvan is a trans man and care coordinator. He has assisted HelpLines in Boulder, CO and homeless youth shelters, many of which have high LGBTQ+ residents. Medically transitioning over the past 6 years has given him a lot of insight into the medical ins and outs, and the impact of gender in our community and workplace. He is excited to support the trans community in accessing medical services.

C Francis

(they/them)

C is a genderqueer trans masculine person and a care coordinator. They are excited to apply their years of customer and technical support experience to helping members of their own community.

Marc Giese

(they/them)

Marc is non-binary and one of our care coordinators. They have worked in customer care for 10 years and have a passion for helping members of their community.

Max Golek

(he/him)

Max is a Floridian trans man and care coordinator at Plume. He worked with Maine Transnet on a workshop to educate doctors with proper pronouns usage and creating a welcome space. Max believes everyone should have access to a welcome and caring health care regardless of gender. In his down time, he loves to be in the ocean.

Denym Aphrodyte

(they/them)

Denym is a non binary trans masculine person and is a care coordinator at Plume. Before coming to Plume Denym worked in gender-affirming care at Planned Parenthood of the Rockies. Since starting their own medical transition, Denym found passion for helping others in the community navigate the healthcare system.

Leigh Davis, RN

(he/him)

Leigh is a trans man and the clinical manager. He has worked in science research and as a registered nurse in oncology. Leigh enjoys backpacking, motorcycle rides, and volunteering in the LGBTQ+ community.

Leora Cohen-McKeon, DO

(she/her)

Dr. Leora is a cis queer woman who is board certified in Family Medicine. She has been practicing medicine for over 10 years in western Massachusetts, Maine, and Seattle. She has provided gender affirming care since 2016. When she’s not practicing medicine, she loves to spend time outdoors with her wife and 2 children.

Riley Cooper-McCann, MD

(they/them)

Dr. Cooper-McCann is a trans, non-binary provider who is board certified in Family Medicine. They are passionate about serving the LGBTQ2IA+ community and expanding access to gender-affirming care.

Suegee Tamar-Mattis, DO

(Suegee/Dr. Tamar-Mattis)

Dr. Suegee Tamar-Mattis, DO is a board-certified Family Medicine physician, a human rights activist, and a member of the LGBTQI community. Suegee has been involved in queer and transgender healthcare since the 1990s and is the founder of the Sonoma County Transgender Health Clinic.

Jerrica Kirkley, MD

(she/her)

Dr. Kirkley is a trans woman, board certified in Family Medicine, and the co-founder of Plume. She has provided gender-affirming care (GAC) in various clinical settings and is the author of a GAC protocol implemented by health systems across multiple states.

Sierra Brittingham, NP

(she/her)

Sierra is a cis, queer, board certified Family Nurse Practitioner who decided to make gender affirming care her primary focus in 2017 in order to support a community close to her home and heart. Sierra educates health care organizations on gender-affirming care and enjoys speaking and sharing information at universities and conferences. Outside of work and community outreach, Sierra invests time in animal rescue and spoiling her overly affectionate pitbull.

Alann Weissman-Ward, MD (he/him)

(he/him)

Dr. Alann is a Jamaican and Jewish trans man who is board certified in Family Medicine and Addiction Medicine. He has been providing gender affirming care since 2009. It is a joy for him to work with the trans community not only a medical expert, but a peer as well. Birdwatching is everything; my twin and I have been birding with my father before we could sit up.

Margot Presley, NP

(she/her)

Margot Presley, NP is a queer, cis, trans ally. As a nurse practitioner (NP) she provides primary care and addiction recovery services in Portland, Oregon. Since 2008, she’s been committed to supporting the LGBTQI community via social and healthcare services. Margot has led workshops, contributed to agency policies, informed legislation, and developed curricula on gender-affirming care and environments.

Yonah EtShalom, NP

(they/them)

Yonah is nonbinary and board-certified as a family nurse practitioner and holds a Master’s in Public Health from Emory University. Yonah has worked in sexual and reproductive healthcare for 17 years and launched a trans/nonbinary care program in upstate New York. They love talking about hormones, contraception and STDs, and they make an excellent pie crust.

Carly Calagias, NP

she/her

Carly is a Women’s Health Nurse Practitioner with over 10 year’s experience providing gender-affirming care. In addition to her work with Plume, Carly specializes in intra-operative and post-operative care of vaginoplasty procedures as well as pelvic pain conditions. Carly is an ally of the trans community and finds her work to be incredibly fulfilling.

Yearly

Monthly

Based on national averages

Initial visit
Initial visit
Initial visit
Initial visit
Initial visit
Initial visit
Initial visit
Initial visit
Initial visit
Initial visit
Initial labs
Initial labs
Initial labs
Initial labs
Initial labs
Initial labs
Initial labs
Initial labs
Initial labs
Initial labs
Follow-up visits
3 x per year
Follow-up visits
3 x per year
Follow-up visits
3 x per year
Follow-up visits
3 x per year
Follow-up visits
3 x per year
Follow-up visits
3 x per year
Follow-up visits
3 x per year
Follow-up visits
3 x per year
Follow-up visits
3 x per year
Follow-up visits
3 x per year
Follow up labs
3 x per year
Follow up labs
3 x per year
Follow up labs
3 x per year
Follow up labs
3 x per year
Follow up Labs:
3 x per year
Follow up Labs:
3 x per year
Follow up Labs:
3 x per year
Follow up Labs:
3 x per year
Follow up Labs:
3 x per year
Follow up Labs:
3 x per year
Medications
12 x per year
Medications
12 x per year
Medications
12 x per year
Medications
12 x per year
Medications:
12 x per year
Medications:
12 x per year
Medications:
12 x per year
Medications:
12 x per year
Medications:
12 x per year
Medications:
12 x per year

Plume

$1,188 - 1,428 $119

$99 + medication

$99 month $99 month $99 month

Initial visit
Included
Initial visit
Included
Initial visit
Included
Initial visit
Included
Initial visit
Included
Initial labs
Included
Initial labs
Included
Initial labs
Included
Initial labs
Included
Initial labs
Included
Follow-up visits
3 x per year
Included
Follow-up visits
3 x per year
Included
Follow-up visits
3 x per year
Included
Follow-up visits
3 x per year
Included
Follow-up visits
3 x per year
Included
Follow up labs
3 x per year
Included
Follow up labs
3 x per year
Included
Follow up Labs:
3 x per year
Included
Follow up Labs:
3 x per year
Included
Follow up Labs:
3 x per year
Included
Medications
12 x per year
$20
Medications
12 x per year
$20 (avg with coupon)
Medications:
12 x per year
$20
Medications:
12 x per year
$20
Medications:
12 x per year
$20

Out of Pocket

$2,210 - 4,440$184 - 370$184-370 month $184-370 month $184-370 month

Initial visit
$350 - 400
Initial visit
$350 - 400
Initial visit
$350 - 400
Initial visit
$350 - 400
Initial visit
$350 - 400
Initial labs
$0 - $77
Initial labs
$0 - $77
Initial labs
$0 - $77
Initial labs
$0 - $77
Initial labs
$0 - $77
Follow-up visits
3 x per year
$200 - $250
Follow-up visits
3 x per year
$200 - $250
Follow-up visits
3 x per year
$200 - $250
Follow-up visits
3 x per year
$200 - $250
Follow-up visits
3 x per year
$200 - $250
Follow up labs
3 x per year
$290 - $775
Follow up labs
3 x per year
$290 - $775
Follow up Labs:
3 x per year
$290 - $775
Follow up Labs:
3 x per year
$290 - $775
Follow up Labs:
3 x per year
$290 - $775
Medications
12 x per year
$20
Medications
12 x per year
$20 (avg with coupon)
Medications:
12 x per year
$20
Medications:
12 x per year
$20
Medications:
12 x per year
$20

Insurance (Bronze)

Out of Pocket

$1,580$132$184-370 month $184-370 month $184-370 month

Initial visit
$350
Initial visit
$350
Initial visit
$350 - 400
Initial visit
$350 - 400
Initial visit
$350 - 400
Initial labs
$0 - $77
Initial labs
$0
Initial labs
$0 - $77
Initial labs
$0 - $77
Initial labs
$0 - $77
Follow-up visits
3 x per year
$200 - $250
Follow-up visits
3 x per year
$250
Follow-up visits
3 x per year
$200 - $250
Follow-up visits
3 x per year
$200 - $250
Follow-up visits
3 x per year
$200 - $250
Follow up labs
3 x per year
$290 - $775
Follow up labs
3 x per year
$80
Follow up Labs:
3 x per year
$290 - $775
Follow up Labs:
3 x per year
$290 - $775
Follow up Labs:
3 x per year
$290 - $775
Medications
12 x per year
$20
Medications
12 x per year
$20 (avg with copay)
Medications:
12 x per year
$20
Medications:
12 x per year
$20
Medications:
12 x per year
$20

Insurance (Silver)

Out of Pocket

$595$50$184-370 month $184-370 month $184-370 month

Initial visit
$70
Initial visit
$70
Initial visit
$350 - 400
Initial visit
$350 - 400
Initial visit
$350 - 400
Initial labs
$0 - $77
Initial labs
$0
Initial labs
$0 - $77
Initial labs
$0 - $77
Initial labs
$0 - $77
Follow-up visits
3 x per year
$45
Follow-up visits
3 x per year
$45
Follow-up visits
3 x per year
$200 - $250
Follow-up visits
3 x per year
$200 - $250
Follow-up visits
3 x per year
$200 - $250
Follow up labs
3 x per year
$290 - $775
Follow up labs
3 x per year
$70
Follow up Labs:
3 x per year
$290 - $775
Follow up Labs:
3 x per year
$290 - $775
Follow up Labs:
3 x per year
$290 - $775
Medications
12 x per year
$20
Medications
12 x per year
$15 (avg with copay)
Medications:
12 x per year
$20
Medications:
12 x per year
$20
Medications:
12 x per year
$20

Cost of Plume compared to out-of-pocket and insurance.

Get Started With Plume

Request a One-Time Letter

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