TABLE OF CONTENTS


How much does Plume membership cost?

  • Membership costs $99/month or $32 with eligible insurance. 
  • Some states require members to pay for labs out-of-pocket due to individual state laws around lab billing, such as New York, New Jersey, Rhode Island, and North Dakota. To offset this cost, we offer a reduced rate for these states. Members in New York, New Jersey, and Rhode Island pay $90/month, and members in North Dakota pay $84/month (use code ND2025Labs at checkout).

What does Plume membership include?

When will I be charged?

  • After a $99 intake fee, billing begins one month after your first appointment.

  • Monthly fees auto-process on the same date each month unless adjusted.

  • A $20 no-show fee applies if you miss an appointment.

How do I pay for membership?

  • Payments auto-process monthly after the initial $99 consultation.

  • Eligible insurance reduces costs to $32/month plus copays.

  • Visa, Mastercard, Discover, American Express, and FSA cards are accepted.

  • Cash, direct bank transfers, cryptocurrency, or app payments are not accepted.

How do I pay my copay? 

You’ll receive an email with payment instructions after each video appointment. Follow the link in the email to complete payment. Copays are standard in managed care plans and cover part of your appointment cost. Membership fees support non-medical services like education and community support.

Is the cost of medication included? 

No, but insurance or GoodRx can help reduce costs. Check with your pharmacy or use Plume’s delivery pharmacy for competitive pricing.

Is financial support available? 

Point of Pride’s HRT Access Fund provides 12 months of gender-affirming care for those eligible. Learn more here.

How do I communicate with my Care Team?

Log in via the Spruce app or at Spruce Health with your email and password.

How do I update my account settings? 

Update your name and birthdate under “Settings” > “Profile” in Spruce. For gender, address, or payment updates, message your Care Coordinator. Send any legal name-change documents if applicable.

What payment methods are accepted?

Plume accepts Visa, Mastercard, Discover, and American Express debit or credit cards. FSA cards are also accepted.

What happens if I miss a payment?

Our billing system will send an email notification with instructions and a link to resolve the payment. Please note that your Plume membership will automatically be canceled after 30 days of unpaid invoices. You can use the portal to update your payment methods and pay the balance due.

Where can I manage my billing information?

You can access the Billing Portal through this link: https://getplume.info/PlumeBillingPortal.

Enter the email address associated with your Plume membership. If you aren’t sure which email address you used, go to the Spruce app, click Settings, then Account, and you should see the email address associated with your account. Click the secure link sent to your email to log in and access your billing options.

How do I update my payment method?

Log into your Stripe account using the billing portal and click “ + Add Payment Method” and enter a valid credit card, debit card, or bank account information. When you are finished, click “add” to save your payment method.

How do I download my invoice or receipt?

Log into your billing portal and scroll down to invoice history. Under your invoice history, click the payment you want to download. On the next screen, click "download invoice" or "download receipt" to download a PDF version of your receipt or invoice.


How do I cancel my membership? 

Log into your billing portal and click “Cancel Subscription”. Service will be discontinued at the end of your billing cycle.


If it’s been less than 30 days since your first appointment, you won’t be able to cancel in the Stripe billing portal yet. If you don’t see the option, just message us in Spruce or at members@getplume.co, and we’ll help!