The HRT Access Fund provides 12 months of free medical care for trans folks seeking gender-affirming hormone therapy (also known as “HRT.”) This is made possible by a partnership between Plume and the amazing team at the nonprofit organization, Point of PrideThrough this program recipients receive access to a 12 months Plume membership which includes:

  • medical care through initial and regular telemedical visits

  • 3x year lab work and monitoring through Quest Diagnostics or Labcorp

  • 24/7 text access to our predominantly trans care team

  • any medical letters you may need related to your transition

  • prescription cost coverage


How do I know I am a grant winner?
You will receive an email from Point of Pride indicating you are a grant winner. You will then receive a welcome email from Plume with instructions on how to set up your membership.

What is covered by my grant?

  • Medical care with Plume providers
  • 3x year lab work and monitoring through Quest Diagnostics or Labcorp
  • Transportation to and from labs
  • Access to our predominantly trans care team
  • Any medical letters you may need related to your transition 
  • Prescription medication cost coverage and any supplies necessary for administering your medication (i.e., needles/syringes)
  • Access to 6-week Peer Support Groups
  • Access to the Plume Member Resource Center

When does my membership coverage start?

Your membership starts from your initial intake appointment and will continue until the same date 12 months after.

How do I get set up with my membership? 

If you already have a Spruce account with Plume, you can sign into this account and reach out to let the team know you are a Point of Pride grant winner. If you do not have a Spruce account, please complete the following steps:

  1. Select the correct link based on your membership type and state. Appointment links will be emailed to recipient winners.

  1. After selecting the appropriate link you will be prompted to:

    1. Enter your state

    2. Select your package type. You will be able to enter your coupon code when prompted for payment information do not be concerned about the price listed.

    3. Set your appointment type as an initial intake appointment 

    4. Find and schedule your appointment

    5. Enter your information, including your Promo code provided in your welcome email

  2. Download our HIPAA-compliant messaging app, Spruce, to complete your medical intake and message your care team. 

**Florida residents will be emailed special instructions on how to meet SB254 requirements for establishing care. 

Why do I need to enter my billing and payment information? 

We need to enter your payment information to create a payment profile; this is linked to creating your medical chart. Your card will not be charged.

How do I get my medications?

If you wish to have your medications billed directly to Point of Pride, you will use our mail order pharmacy. When you fill out your intake form, you can list Empower as your pharmacy of choice if you want to use this part of your grant coverage. 

For all other pharmacies you will have to submit a reimbursement form to Point of Pride. You will also want to make sure to keep a record of payment for your prescriptions so this can be reimbursed.

Where do I go for my labs? 

Labs can be done at any Quest Diagnostics or Labcorp facility. The results will automatically be sent to your Plume provider.

Click here to find a Quest Diagnostics location

Click here to find a Labcorp location 

Please note that if you live in Arizona, the Quest facilities are labeled "Sonora Quest Laboratories." In Arizona, please find lab locations with this name to ensure that Plume can cover your labs. 

If you live in Oklahoma, there are Quest facilities that are labeled as "Quest Diagnostics" in this state. But you can also go to facilities labeled "Diagnostic Laboratory of Oklahoma."

How do I get reimbursed by Point of Pride?

Please fill out this brief form for Point of Pride to request prepayment. You will be asked to provide a detailed breakdown, to the best of your ability, of the anticipated expenses.

Please be sure to keep your receipts and email them to Point of Pride as soon as possible after you’ve used the money provided or with any questions on this process. 

Please keep in mind that only the following items are eligible for reimbursement:

  • Prescription Cost at Pharmacy (for those choosing not to fill medications through our mail-order pharmacy Empower) for your Plume-prescribed gender-affirming hormone therapy (GAHT or HRT) only. Any additional prescriptions provided by any other physicians are not included in your grant.

  • Blood work at Quest Diagnostics or Labcorp as required by your Plume provider. Any additional blood work required by any other physicians is not included in your grant.

  • Transportation to and from Quest Diagnostics or Labcorp as required by your Plume Provider.

How do I know when my grant is ending? 
A care team member will reach out a month before the end of your grant coverage to provide you with options on continuing your membership. At this point, you will be able to continue receiving your care with Plume as a paying member or transfer care to another provider.

Can I continue care after my grant coverage ends?

Yes! You will have to let the team know you are wishing to continue care with us and we can get a payment card on file and continue your care at the monthly membership fee. You can also reapply for another Grant cycle through Point of Pride. *This does not guarantee you will be selected for another year.