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Access gender-affirming care in a caring, emotionally safe environment.

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Care crafted for you.

Affirming environment

As allies and members of the LGBTQIA+ community, our physicians care about helping you feel your best.

Insurance accepted

We're in network with most PPO plans to keep things as affordable as possible for you.

Care from home

Enjoy the comfort of a 100% remote healthcare experience. Have appointments and chat with your care team from the app, then pick up your prescriptions nearby (or have them delivered).

Our providers deliver the latest in affirming and evidence-driven care.

All of our providers are vetted according to strict quality of care protocols determined by UCSF, our hospital affiliate.

Find the right provider for you.

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Mia Gaw
She / her

California

Florida

Pennsylvania

Patricia Templeton
She / her

Virginia

District of Columbia

Cassandra Reaka
She / her

Texas

Illinois

Kyndahl Bertram
She / her

Colorado

Virginia

Karen Stadnicki
She / her

Wisconsin

Illinois

Amy Brown
She / her

Colorado

Washington

Maine

Tracey Smith
She / her

Florida

New York

Malorie Bartlett
She / her

Massachusetts

Robert King
He / him

Oklahoma

New Jersey

New Mexico

Shalanda Cross
She / her

California

Alexandra Doerschel
She / her

Florida

Nevada

Megan Spillers
She / her

Florida

New Jersey

Texas

Katie Chambers
She / her

Illinois

Wisconsin

Benjamin Brackett
He / him

California

Illinois

Pennsylvania

Sezer Arslan
He / him

California

Florida

New York

Brittany Yahraus
She / her

Florida

Washington

Machelle Dotson
She / her

California

Washington

Ashley Bailey
She / her

Florida

New York

Virginia

Washington

Daniela Ibarra
She / her

California

Florida

Nicki Thorne
She / her

California

Florida

New Jersey

Nevada

Virginia

Emma Todd
She / her

California

Florida

Oregon

Margo Beemer
She / her

Maine

New Jersey

Nevada

Washington

William Kelly
He / him

Arizona

Florida

New Jersey

New Mexico

Shannon Weldon
She / her

New Jersey

Oregon

Texas

Washington

Tiffany Shilling
She / her

Arizona

Lauren Yamada
She / her

Florida

Pennsylvania

Kaitlyn Almeida
She / her

Florida

New Jersey

New York

Kimberly McGuinness
She / her

New Jersey

Julie Vining
She / her

Iowa

Utah

Virginia

Theresa Duggan
She / her

Florida

Washington

Emily Rozsonits
She / her

Illinois

Alisa Briceno Ramirez
She / her

Florida

New Jersey

New York

Bernadette Sherman
She / her

Florida

Pennsylvania

Dana Mirza
She / her

California

Florida

New Jersey

New York

Caylin Cheney
She / her

Washington

What is gender-affirming hormone therapy?

Gender-affirming hormone therapy aims to align an individual’s characteristics with their gender identity with the use of hormones. 

Our practice provides both masculinizing and feminizing gender affirming care for adults 18+. Receiving gender-affirming hormone therapy is a personal decision.

Our goal is to make sure that all people 18+ who want to do so can access safe, gender-affirming care from experienced clinicians. 

If you decide that gender affirming hormone therapy is right for you, your provider would assist with:

Feminizing hormone therapy with estrogen, progesterone, or a hormone blocker (such as spironolactone or finasteride).

Masculinizing hormone therapy with the use of testosterone. These could be in the form of pills, topical creams, or a self injection. Your provider will assist you in deciding the right treatment for you.

How can I learn more?

Prescriptions for hormones (such as testosterone, estradiol, or progesterone), hormone blockers (such as spironolactone or finasteride), hair loss medications (such as finasteride), and erectile function medications are all available through our practice.

If you have questions and would like to learn more about your options, we recommend booking an intake appointment to speak with a provider. We accept most PPO insurance plans and do not require a membership, so that it's easier for you to meet with a provider.

As a patient, you will have unlimited access to message your provider and your care team through our secure in-app chat.

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What to expect.

Please read through the FAQ for more information, including information on cost, treatment plans, and more.

FAQs

Comprehensive gender-affirming care & hormone therapy (masculinizing & feminizing) over video

STD/STI testing, PrEP treatment, hair loss medications, erectile function medications, and more

UCSF-affiliated Board-Certified providers specialized in gender-affirming care

Major insurance plans accepted

Same-day or next-day appointment availability

No membership fees

The Cost of Gender Affirming Hormone Therapy at Circle Medical.

Getting Started

This is for anyone who has not previously received gender affirming hormone therapy.

Intake appointment (30 min)
  • Your provider will review your medical history and discuss care options with you.

  • You will also have bloodwork ordered to a facility near you.

2-week follow-up appointment (20 mins)
  • Your provider will review the results of your blood work with you and they may discuss informed consent3.

  • Your provider will prescribe the appropriate hormone(s) and answer any questions you may have about care4.

1-month follow-up appointment (20 min)
  • You will check in with your provider after one month regarding your care. If needed, your provider will help make adjustments to your care plan.

Check-in appointments every 3 months5 (20 mins)
  • You will meet with your provider every 3 months to ensure that you are meeting your gender affirming goals. If needed, your provider will help make adjustments to your dosage and care plan.

  • In your first year, your provider will also order lab work every 3 months.2 

With Insurance

Co-Pay1

Co-Pay1

Co-Pay1

Co-Pay1

Cash Pay

$100

$100

$100

$100

Continuing Care

This is for anyone who has previously been on gender affirming hormone therapy and is looking to continue or restart their care with our practice.

Intake appointment (30 min)
  • Your provider will review your medical and gender affirming history with you.

  • We will ask you for your previous provider so that we may coordinate having your medical records sent over to our practice.

  • Your provider will order blood work, if needed.2                  

  • Your provider will also write you a bridge prescription to maintain your care, if needed.**

2-week follow-up appointment (20 mins)
  • Your provider will review the results of your blood work with you and they may discuss informed consent3.

  • Your provider will prescribe the appropriate hormone(s) and answer any questions you may have about care4.

Check-in appointments every 3 months5 (20 mins)
  • You will meet with your provider every 3 months to ensure that you are meeting your gender affirming goals. If needed, your provider will help make adjustments to your dosage and care plan.

  • In your first year, your provider will also order lab work every 3 months.2 

With Insurance

Co-Pay1

Co-Pay1

Co-Pay1

Cash Pay

$100

$100

$100

* This an example of the cadence most care plans tend to follow. However, your care plan and cadence may vary based on your individual medical history and other factors.

** For patients changing their healthcare provider to Circle Medical, we believe it is important to provide bridge prescriptions to patients who are currently on gender affirming hormone therapy and are in need of a refill. Please book with a provider today for more information”.

(1) Co-pay costs will depend on your individual insurance plan, but are typically in the $0-$35 range per appointment. You can see a copay estimate if you begin to book an appointment with Circle Medical.
(2) Not always necessary, especially if your most recent lab work was within the past 3 months. Blood work requirements will be determined by your provider during the appointment. Costs will vary based on lab and blood work required.
(3) Circle Medical does not always require a therapist letter in order to confirm informed consent. Please read through the FAQ for more details.
(4) PLEASE NOTE: A hormone prescription, or any other medications, are not always guaranteed. Your primary care provider will review your past medical history and blood work to determine which treatment options are right for you.
(5) This is Circle Medical's standard practice for ongoing care.

In network with most PPO insurance plans.

Your care doesn't have to stop here.

As a fully-licensed primary care practice, we know that making someone truly heathy is about more than one type of care. Our 200+ providers offer annual checkups, on demand video appointments, specialist referrals, and more.

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Held to a higher standard of care by one of the top 10 hospitals in the country.

Our affiliation with UCSF is more than just a partnership. Our providers must hit specific patient care metrics and consistently deliver the highest possible level of care.

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Frequently Asked

Gender-Affirming Hormone Therapy

Can anyone receive gender-affirming hormone therapy through Circle Medical?

Yes, anyone who is 18+ and permanently resides in a state that we service is eligible for gender-affirming hormone therapy through our practice.

How does the process work? Do I need to bring anything to my appointment?

Our providers look to the UCSF transgender care and treatment guidelines, which can be found here.

During your first appointment, your provider will establish your medical history and ask whether you have had labs done.

If you don't have labwork done yet, your provider will place a lab order in to a location near you. Your results will be uploaded to the app automatically.

Some providers may request that you obtain a letter from a therapist indicating that you have spoken with them about gender-affirming care. You can upload this letter via the app. Note that this letter request is at the provider's discretion.

You can use our in-app chat to message your care team and provider as you complete the labwork. Once you have the needed items indicated by your provider and a completed first appointment with Circle Medical, you are ready to begin hormone therapy.

Your prescription will be sent to a pharmacy near you (or you can ask your provider if mail-order prescriptions are available in your state).

You'll then keep messaging your provider and care team as you start hormone therapy. Your provider may establish a follow-up appointment to adjust dosage or discuss how things are going.

Am I required to have a letter from a therapist prior to beginning gender affirming hormone therapy?

Circle Medical practices care in alignment with the UCSF Transcare guidelines and WPATH (World Professional Association for Transgender Health) Standards of Care. A therapist letter is not always a requirement in order for patients to have access to gender affirming care.

Often, we will not require a letter from a therapist or mental health professional prior to beginning gender affirming care. However, there are select times in which we may ask for a letter from a therapist, or mental health professional. For example, we may ask for a letter if a patient is unsure of their gender affirming goals and/or is new to exploring gender affirming therapy and is unsure whether starting gender affirming care is right for them. 

Our goal is to improve access to high quality and delightful primary care. Gender affirming care is within the scope of primary care and we are focused on creating a safe environment for people to receive care.

What states do you operate in?

To see a list of states, please start booking an appointment. You will be able to select from a list of all of the states where we are currently practicing.

You must be currently residing in the state of treatment as well as have your primary pharmacy be in that same state in order to be a patient at our practice.

How do I know if hormone therapy is right for me?

The decision to start your transition is a deeply personal one. We recommend booking a video appointment to speak with one of our experienced clinicians to get your questions answered. All of our clinicians are primary care practitioners, which means that they are experienced in providing care beyond gender-affirming hormone therapy.

Your clinician will be able to discuss your treatment options with you and answer any questions you may have, about gender-affirming care or about any other health topic you may want to discuss in a safe environment.

How does lab testing work?

Your provider will be able to place a lab order to a lab near you to get bloodwork and hormone monitoring completed. Your results will be uploaded automatically to the app, where you can view and download them at any time.

Providers

What type of provider am I seeing through Circle Medical?

Our providers are primary care providers (MD's, DO's, NP's, and PA's) who have experience in providing gender-affirming care and behavioral health care. They are allies and proud members of the LGBTQIA+ community. We encourage you to read more about each provider on their profiles above!

Do I need to book my appointment with a doctor (MD or DO), or can I book my appointment with any provider (PA-C, NP, etc)?

You do not need to book your appointment with a doctor. You can book your appointment with any provider that we have available. Our providers all work closely together to make sure that we are providing the same excellent standard of care to all patients regardless of which provider you book your appointment with. The type of provider you book with will not limit the type of treatment or medications that you are able to be prescribed.

How long are the appointments?

The first intake appointment is 30 minutes. Follow-up appointments are 20 minutes each.

Billing

What is the total cost of gender-affirming care and my treatment plan?

We accept most major PPO plans and we do not have any membership fees or ongoing membership requirements. The only cost that you have from our practice is the cost per appointment (see below for appointment cost estimates).

Your other costs include the cost of the medication(s) at the pharmacy (we recommend using GoodRx coupons to lower this cost), and the cost of any lab work or hormone testing at the lab.

With Insurance

$5 - $50 average copay* 1st appointment
$5 - $50 average copay* 2nd appointment

$10 - $100* total, with $5 - $50* monthly follow-ups once stable.

*Note: Your specific copay is dependent on your health insurance coverage. We typically see patients with copays of around $0-$50 per appointment, but this can be higher if you have a high-deductible plan and have not yet hit your deductible this year. To confirm your specific copay estimate, you can click to book an appointment and you will be asked to input your insurance information so that you can receive your cost estimate before confirming the appointment.

Our ability to estimate your costs is dependent on your healthcare insurance's database, so we do not guarantee that the estimate you see is the exact amount you will be billed. For the most accurate estimate of your per-appointment costs, we recommend calling the phone number on the back of your insurance card to ask your insurance plan what your primary care appointment costs are.

Without Insurance (out of network or uninsured)

$100 per appointment

Your specific follow-up appointment timeline may vary depending on what your provider recommends.

Insurance

What insurance do you accept?

We contract with most PPO insurance plans. If you are a California Bay Area resident, we also work with a small number of HMO plans.

To verify if we work with your insurance, simply start booking an appointment online. You will be prompted to enter your insurance details and will receive eligibility results instantly as well as an estimate of your appointment cost prior to confirming your appointment.

Some PPO plans that we currently work with are:

Anthem Blue Cross/Blue Shield, Aetna, Blue Shield of California, Cigna, Health Net, Humana, and United Healthcare.

Plans that we cannot work with are:

Unfortunately, we are unable to provide care for patients who have Medi-Cal or Medicaid insurance. This is because we are not licensed Medi-Cal or Medicaid providers, so we are not able to provide care, even if these patients choose to pay cash instead of use their insurance. If you have Medi-Cal or Medicaid, please do not book an appointment with us, as we will be unable to provide care even if you do not enter your insurance information. We apologize about this.

Other

What do I need to do to prepare for my first appointment?

After booking your first appointment, download the app and make sure that you are able to sign in. Confirm your appointment start time in the app (all times are in your phone's local time). No other actions are needed.

You will receive an in-app chat message 1-2 minutes before your appointment start time with the link to join your video appointment.

What happens after I am prescribed?

After you are prescribed medications, we will coordinate sending these prescriptions to your preferred pharmacy. We may have a mail-order prescription delivery service available; please ask your provider about this.

We will contact you via the in-app chat regarding ongoing refills and follow-up appointments. Your specific follow-up appointment cadence will be determined by your provider.

If you have questions at any time, please feel free to chat with your provider and care team via our secure app.

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Appointment Summaries After Every Visit

Your provider will prepare a personalized plan for you after each visit including a diagnosis, recommendation, prescriptions and resources for additional reading.

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Have questions about your medical insurance? Notice new symptoms? Your Care Coordinator and doctor are available to talk using secure, HIPAA-compliant chat.

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Talk to a provider about Gender Affirming Hormone Therapy today.

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