TABLE OF CONTENTS
- How much does Plume membership cost?
- What does Plume membership include?
- When will I be charged?
- How do I pay for membership?
- How do I pay my copay?
- Is the cost of medication included?
- Is financial support available?
- What payment methods are accepted?
- What happens if I miss a payment?
- How do I update my credit card?
- How do I sign in to my account?
- How do I update my account settings?
- How do I cancel my membership?
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?
- Expert gender-affirming care from licensed providers.
Care for everyday wellness concerns such as acne, anxiety, allergies, depression, smoking cessation, insomnia, and contraception
Digital video appointments to create and adjust treatment plans.
Prescription orders for masculinizing or feminizing hormones and related medications.
Lab orders, analysis, and costs (included for self-pay members; processed through insurance for insured members).
Access to our Community Hub for exclusive virtual events, support groups, and chat with other trans and non-binary folks
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.
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?
You can catch up before your next invoice without late fees. Accounts are canceled after 30 days of missed payments.
How do I update my credit card?
Message your Care Coordinator in Spruce with your new card details or use a virtual/prepaid card for added security.
How do I sign in to my account?
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.
How do I cancel my membership?
Message your Care Coordinator in Spruce to request cancellation.