Full Membership (monthly or annual)

Whether you’re using insurance or paying out of pocket, our Full Membership gives you full access to Plume’s medical care and community programming, including: 

  • Access to gender-affirming hormone therapy, mental health care, sexual health care, everyday wellness, and more 

  • Video appointments with a trans-informed healthcare provider, ongoing progress monitoring, and 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

  • Transition support groups, monthly drop-in groups, and weekly social hangouts 

  • Exclusive trans-focused events, workshops, and a library of past sessions 

  • Access to discussion groups and chat threads in Prism

  • Educational resources on medical, social, and legal transition

  • Discounts on trans and queer brands and partners


MonthlyAnnual

If you’re using insurance:

  • $32/month

  • Pay your per-visit copay based on your insurance

If you’re self-pay:

  • $99/month

  • Up to 5 visits per month

  • Save money on your prescriptions using our prescription delivery service

  • *New Jersey, New York, & Rhode Island residents pay $90/month
All the same benefits as our monthly Full Membership while saving 37% when you commit to a year of care.

  • $749.99 for 12 months, saving you over $400 a year

  • Lock in your care and stay connected to your community all year long

  • New members can select the annual option during sign-up

  • Current members can switch by messaging their care team in the Spruce app

  • No insurance required


*Due to telehealth laws in New York, New Jersey, and Rhode Island, Quest Diagnostics/Labcorp must bill all New York, New Jersey, and Rhode Island patients directly for labs. Then, the patient must pay Quest Diagnostics/Labcorp directly. However, even though patients in New York, New Jersey, and Rhode Island pay out-of-pocket, you receive a significant discount on labs’ regular pricing for quarterly bloodwork charges. Quest Diagnostics or Labcorp will send you a bill that charges around $30-$35. In consideration of this extra cost, your Plume membership costs $90/month instead of $99/month.

Community Membership

The Community Membership is $5/month for any trans or gender-diverse person. Access all membership features through our private app, Prism, to connect, share, and feel supported. With a Community Membership, you can:

  • Join weekly, trans-led support groups and casual hangouts 
  • Attend live workshops and events covering a wide range of transition and trans-health topics 
  • Chat in online discussion spaces for connecting over interests, current events, and community topics 
  • Read a library of resources on gender-affirming care, updating legal documents, emotional well-being, and trans culture 
  • Get exclusive member discounts on trans health and lifestyle products, including clothing, voice training, and fertility services 

Note: The Community Membership is available for individuals aged 18+ (or 19+ in NE and AL). It is unavailable for individuals that select Medicaid in CO and KY. Prescriptions for gender-affirming care are not included in the Community Membership. 

Letter of Support

  • $150 one-time fee
  • One video appointment with a trans-informed healthcare provider
  • One medical* letter of support for surgery, delivered within one week

Note: We currently cannot provide behavioral health letters from a therapist. If you’re already a Plume member, letters are included at no extra cost.