Get Started

Washington

  • Estrogen
  • Testosterone
  • Everyday Wellness

Available to adults 18 and older​

Insurance we accept:

TriWest

Don’t see your insurance?​

Join our wait list, and we’ll email you when we accept your insurance:

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Per visit copay

Based on insurance

  • Access to gender-affirming hormone therapy, mental health care, sexual health care, everyday wellness, and more
  • Video appointments with a trans healthcare provider and ongoing progress monitoring 
  • Provider-written prescriptions for related medications
  • Cost, ordering, and analysis of related labs 

$32/month

  • Concierge, personalized recommendations related to your social, legal, and medical gender journey
  • Trans-competent support from experts in gender affirming care
  • Multi-week transition support groups, monthly drop-in groups, and weekly social hangouts 
  • Exclusive trans-focused events, workshops, and library of past sessions 
  • Access to Plume Community Hub discussion groups and chat threads
  • Educational resources on medical, social, and legal transition
  • Discounts on trans and queer brands and partners
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Get Started

*Prescriptions, copays, and labs are not included and are priced based on insurance coverage.

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$99/month

or $749.99 annually (save 37%)

Up to 5 monthly visits

  • Access to gender-affirming hormone therapy, mental health care, sexual health care, everyday wellness, and more
  • Video appointments with a trans healthcare provider and ongoing progress monitoring 
  • Provider-written prescriptions for related medications
  • Cost, ordering, and analysis of related labs 
  • A trans-focused care team to support you at every step
  • Personalized recommendations and referrals 
  • Multi-week transition support groups, monthly drop-in groups, and weekly social hangouts 
  • Exclusive trans-focused events, workshops, and library of past sessions 
  • Access to Plume Community Hub discussion groups and chat threads
  • Educational resources on medical, social, and legal transition
  • Discounts on trans and queer brands and partners
Get Started

*Self-pay pricing includes appointments and select lab costs. Prescription costs are not included.

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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 in membership for active members.

Request a Letter
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Person smiling while looking at a smartphone, wearing a vibrant pink faux fur coat and bold makeup, seated on a beige couch.
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How Plume Health works

1

Choose your membership

2

Scheduling and intake​

3

Join the Plume Community Hub​

4

Meet with your provider​

5

Begin your treatment​

Start your journey

Gender-affirming care that goes beyond hormones

No matter where you are in your transition, we partner with you to address your unique health needs.

All Services
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Gender-affirming hormone therapy
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Transition Support
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Anxiety and Depression
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Smoking Cessation
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Erectile Disfunction
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Allergies
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Acne
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Insomnia

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In order to provide healthcare services to you and give you medically appropriate care, we are required to get a recent blood pressure reading. You can get your blood pressure read for free at many pharmacies, go to your primary care doctor, or you may purchase a blood pressure cuff online.