TABLE OF CONTENTS

How do I sign up and make an appointment with a Plume medical provider?


Step 1: Complete Eligibility Form 
Visit https://getplume.co/get-started/ and fill out info accordingly. Questions include email, state, date of birth, chosen name, your Medicaid status, and an opportunity to sign up to our newsletter. If you are located in a state where we accept insurance, you will have an option to select an eligible insurance provider. Learn more about insurance with Plume here.




Step 2: Select Service Package 
Select either Plume Clinical Services or One Time Letter of Support. If Plume Clinical Services are selected, choose which type of GAHT you are pursuing (Estrogen or Testosterone). 

If you are using your insurance, your membership is $32 per month + copay.

If you are choosing to self-pay, your membership is $99 per month. 


If you are in New York, New Jersey, or Rhode Island, your self-pay membership is $90.


If you choose a one-time letter of support, your cost is a one-time charge of $150.



Step 3: Provide Account Data & Accept Terms 
Provide your chosen name details, and, if different from chosen name, your legal name details. 

Provide your pronouns. If you use multiple pronouns, select each that you use from the Pronouns dropdown. If you use any Pronouns not found in the dropdown, please provide those pronouns in the free text Pronouns box. 

Read and accept terms of use, privacy policy, and patient financial responsibility agreements.



Step 4: Add billing info and schedule your appointment
Fill out your payment information. Once you have completed your purchase, you can schedule your appointment.


Step 5: Download Spruce and Complete Medical Intake
After confirming your appointment and paying, you will receive an email to download Spruce, our secure patient messaging application. In Spruce you will need to complete a medical intake form in advance of your appointment.

What name, gender, and pronouns do I use when I sign up? Does my name in Spruce have to match my ID?

You will have the opportunity to give us both your chosen and legal name (if they are different from each other), gender, and pronouns. Since we have to submit your prescriptions and labs using the information on your identification documents, we do need to know this information from you as well. We can add a note to your prescription or lab orders with your chosen name or other identifying information, to help you feel more comfortable in those spaces. 


What if I don't have a smart phone?

You can message and video call with your provider through the desktop version of Spruce from any computer. However, downloading the app on a smartphone or tablet is required for the initial sign up process because our medical intake forms can only be completed through the app. If you are able to access a smartphone or tablet to complete the signup process, you may resume communication with your care team via desktop. Please note that without access to the app, you may not receive important and/or time-sensitive notifications about your care in a timely manner. We suggest erasing the app from any devices that are not yours for your privacy and frequently checking your Spruce account for new messages if you opt for a desktop-only experience. 


What should I do before my appointment?

To ensure a smooth and effective appointment, please follow these guidelines:


1. Find a Private Space: Make sure you are in a quiet, private space at the time of your appointment. This helps maintain confidentiality and ensures you can focus on the conversation.


2. Avoid Distractions: Ensure there are no distractions during your call. This means not being in a public place or involved in other activities.


3. Do Not Drive: If you are driving when your provider calls, the appointment will need to be rescheduled. Please be stationary and safe during your appointment.


By following these steps, you help us provide the best care possible. Thank you for letting us take care of you!


What if I miss my appointment?

As outlined in the appointment confirmation information, we will need to charge a $20 no-show fee to reschedule your appointment. This $20 fee is in addition to your $99 monthly membership fee and is in place to ensure our members are able to meet with a provider as soon as possible.


Do I need to see an endocrinologist or have a gender dysphoria diagnosis by a therapist to use Plume?

Nope! Through a process called informed consent , our expert team of gender affirming healthcare providers will get to know you and establish the best possible care plan for you to meet your transition goals. You do not need to see an endocrinologist. 


Plume does not use gender dysphoria as a diagnostic tool. Instead, we pay attention to your experiences of gender euphoria, which is the happy feelings we experience when our gender expression aligns with our gender identity. 


Can I use a P.O. Box as my address?

Telehealth services are regulated differently than brick-and-mortar clinics, so we use your home address to determine whether we can serve you. So you know, we also need to send your prescriptions to a pharmacy in the state that we serve and have you get your labs done at a Quest lab in that state. You may use a P.O. box with an address in a Plume active state as your home address. For prescription delivery, our pharmacy partner will not deliver to P.O. box addresses.


What do you accept as valid forms of ID?

We accept a driver’s license, passport, or government issued photo-ID card. If you do not have access to these forms of identification, we can also accept a combination of a birth certificate and a school ID (or some other photo ID that has your name and photo on it).


What if I am not sure hormone therapy or the Plume membership are right for me?

Receiving gender-affirming healthcare is a deeply personal process, and we are here to help! You can sign up now and schedule an appointment with one of our expert medical care providers. Our whole team specializes in gender-affirming care, and many of us are trans ourselves. At your first appointment, we will discuss all of your needs, desires, and concerns. If you decide that hormones aren’t the right fit for you (or not right for you right now), your fee is a one-time charge. If you are not eligible for care, your initial consultation fee can be refunded