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Medical consultation between patient and healthcare provider

18 MONTHS OF COVERAGE

HRT Access Fund

Hormone Replacement Therapy

The HRT Access Fund provides comprehensive support for transgender individuals beginning or continuing hormone replacement therapy. We understand that hormone therapy is a crucial component of gender-affirming care for many transgender people, yet access remains a significant barrier due to cost and healthcare disparities.

Our program was developed by LGBTQ+ community members and transgender individuals who recognize the life-changing impact of accessible hormone therapy. We partner with trusted healthcare providers to deliver quality care to our recipients.

Coverage includes initial consultations, laboratory work, prescription medications, and ongoing monitoring appointments for up to 18 months. Our goal is to provide recipients with a solid foundation for their hormone therapy journey while they work toward long-term healthcare solutions.

We believe that hormone therapy should be accessible to all who need it, regardless of their financial situation. Through this fund, we aim to remove financial barriers and support the health and well-being of our community.

Age Requirement

Applicants must be 18 years of age or older at the time of application.

U.S. Residency

Must be a current resident of the United States with valid documentation.

Financial Need

Demonstrated financial need showing inability to afford hormone therapy costs through traditional means.

No Current HRT Coverage

Must not have existing insurance coverage or other funding that fully covers hormone therapy costs.

Medical Eligibility

Must meet standard medical criteria for hormone therapy as determined by a qualified healthcare provider.

Commitment to Care

Willingness to attend all scheduled appointments and follow provider recommendations for safe hormone therapy.

Before applying, please consider the following questions to determine if this fund is right for you:

  • Are you 18 years of age or older?
  • Do you reside in the United States?
  • Do you lack insurance coverage for hormone therapy, or is it unaffordable even with insurance?
  • Can you demonstrate financial need based on your current income and expenses?
  • Are you committed to attending regular medical appointments and follow-up care?
  • Have you considered what your plan will be for continuing HRT after the 18-month coverage period?
  • Are you willing to work with our partner healthcare providers?
1

Initial Application

Submit your application through apply.thafund.org with required documentation including identity verification and financial information.

2

Review

Our team reviews your application for completeness and initial eligibility. We may contact you for clarification or additional documents.

3

Committee Review

Qualified applications are evaluated by our funding committee based on financial need and program capacity.

4

Conditional Approval

Selected applicants receive conditional approval and are matched with a partner healthcare provider in their area.

5

Provider Registration

You will be enrolled with your assigned healthcare provider and schedule your initial consultation.

6

Approved

Once enrolled, your coverage begins and you can start receiving hormone therapy services.

7

Documentation

Maintain regular communication with your provider and our team. Report any issues or changes in your situation.

8

Completed

At the end of 18 months, we will help you transition to other coverage options or self-pay arrangements.

  • Application review typically takes 2-4 weeks from submission of a complete application.
  • If approved, you will be connected with a partner healthcare provider near you.
  • Coverage includes initial consultations, hormone prescriptions, and necessary lab work.
  • You will have regular check-in appointments to monitor your health and hormone levels.
  • Our team is available to answer questions and provide support throughout your coverage period.
  • Near the end of your coverage, we will work with you to identify ongoing care options.
  • All care is provided in a gender-affirming, supportive environment.
Please Read Carefully
  • Coverage is limited to 18 months per recipient. Extensions are not typically available, but you may explore other THAF programs.
  • You must attend all scheduled appointments. Missing multiple appointments without notice may result in termination of coverage.
  • Coverage is limited to hormone therapy-related services. Other medical needs are not covered under this program.
  • A non-refundable $10 administrative fee is required with each application. Fee waivers are available for extreme hardship.
  • Prescription medications may be limited to certain pharmacies or mail-order services depending on your provider.
  • You must notify THAF of any changes in your insurance status, address, or financial situation during your coverage period.
  • THAF is working toward 501(c)(3) status. Donations may not currently be tax-deductible.
Coverage includes initial medical consultations, ongoing monitoring appointments (typically every 3-6 months), laboratory testing (hormone levels, metabolic panels, etc.), and prescription hormone medications. The specific medications covered depend on your individual treatment plan as determined by your healthcare provider.
To ensure consistent care and efficient fund management, we typically work with a network of partner healthcare providers. However, if you have an existing relationship with a provider who specializes in transgender healthcare, we may be able to work with them on a case-by-case basis.
Before your coverage ends, our team will work with you to identify sustainable options for continuing your care. This may include assistance with insurance enrollment, connecting you with sliding-scale clinics, or exploring other funding sources. Our goal is to ensure you have a plan for ongoing care.
We cover both masculinizing hormone therapy (testosterone) and feminizing hormone therapy (estrogen and anti-androgens) as prescribed by your healthcare provider. The specific formulations and delivery methods will be determined by your provider based on your individual needs and preferences.
No prior letters or diagnoses are required to apply. Medical eligibility for hormone therapy will be assessed by your healthcare provider as part of the informed consent process. We follow the informed consent model for hormone therapy.
Yes! This fund is available both for those starting hormone therapy for the first time and those who are already on HRT but facing financial barriers to continuing their care. Please include information about your current treatment in your application.
Medical eligibility is determined on an individual basis by qualified healthcare providers. While certain conditions may require additional monitoring or adjustments to treatment, we aim to be as inclusive as possible. Your provider will work with you to determine the safest approach.
Most approved applicants can schedule their first appointment within 2-4 weeks of approval. The timeline may vary depending on provider availability in your area and any additional documentation needed.

Ready to Apply?

Take the first step towards accessing the healthcare you deserve. Our application process is straightforward and confidential.

Start Application

Applications are reviewed on a rolling basis