Then, we’ll get into the details of insurance. We’re first going to lay out the out-of-pocket costs (this is what you would expect to pay without any insurance). But what we can tell you is that we will be upfront and transparent about all of the costs we do know, and when we can’t tell you an exact number, we’ll let you know that, too. For example, medication costs can vary widely depending on the dose, or whether or not you have insurance. ![]() Now, we’re not going to say we will always know exactly how much you will pay for everything. That’s why at FOLX, we strive to give you as much information as we can. Not knowing how much you will need to pay for care is frustrating. Not understanding exactly how to use insurance to get care. Needing to get care for something that’s been bothering you but not knowing how much it might cost to get treated. In an interview with Fast Company, Folx says 12% of its visits are covered by insurance, while medication coverage has grown from 5% to 25%.We’ve all been there. Without insurance, Folx members can expect to pay $159 for an initial provider consultation, $79 for follow-up consultations, and between $45-$582 every three months for HRT, depending on the type of hormones and where you live. Lil Kalish writes for Mother Jones, "But not everyone sees the services as revolutionary, citing price tags - Plume's $99-per-month fee is typical - suggestive of a focus on profiting from those who can shoulder the cost, rather than dismantling the conditions that push many trans people toward concierge telemedicine in the first place."įolx has since changed its subscription model to a flat rate of $39 per month. In 2021, an article in Mother Jones criticized trans telehealth startups like Folx and Plume, for the price of their services. "It was a necessity for me, so I prioritized it and set aside," he told Fast Company. In a recent news article by Fast Company, Lake Willeford, one early user of Folx, paid up to $139 per month for the service, and about $100 for testosterone every three months. Folx has been criticized for the cost of its services Other startups like Plume offer similar services. Since its inception, the queer-owned and -operated health startup has provided virtual visits with affirming healthcare practitioners and hormones shipped directly to their doorstep in discreet packaging. In some states, medical professionals may discriminate against transgender people, or they may lack the proper training required to treat transgender people.įolx was founded in 2020 by queer venture capitalist and healthcare provider AG Breitenstein, JD, MPH to remove those barriers and make it easier for transgender people across the US to get the hormones they need.Letters from mental health professionals with a diagnosis of gender dysphoria required to prove to health insurance providers that GAHT is medically necessary.Health insurance policies or state legislation that do not recognize gender-affirming care like GAHT as medically necessary.In 2020, CNN Health reported that 1 in 10 transgender Americans use nonprescribed hormones because they're uninsured or can't afford it.īesides the cost of GAHT, some other barriers to access include: Transgender people face many barriers when accessing HRT ![]() mental health support for anxiety, depression, or insomnia.primary and preventative care, including wellness screenings and chronic condition management.GAHT, also known as hormone replacement therapy (HRT).Optum, for behavioral health services in Colorado and FloridaĪccording to their website, insurance can cover the cost of:.Evernorth, which is part of Cigna, for behavioral health services in Colorado and Florida.Cigna, which offers coverage throughout the US.Health startup Folx, which offers easily accessible gender-affirming hormone therapy (GAHT) to transgender people across the US, just announced that they now accept health insurance.įolx now accepts health insurance plans from:
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