We make healthcare delightful. For everyone.

Speak with an experienced LGBTQ+ primary care provider in an inclusive, emotionally safe environment.

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Full-spectrum LGBTQ+ primary care
HIV prevention, PrEP,
and sexual wellness
Telehealth visits
24/7 Chat support

Care crafted for your unique self.

Affirming environment

As allies and members of the LGBTQIA+ community, our physicians are driven to make you feel the best you can be.

Insurance accepted

In network with most PPO plans. PrEP, STD/STI treatment, and more may be fully covered.

Care from home

Enjoy the convenience of a 100% remote healthcare experience. Book appointments and chat with your care team from the app, and get prescriptions delivered to your door.

What is PrEP?

PrEP (pre-exposure prophylaxis) is a medication that people at risk for HIV take to prevent getting HIV from sex or injection drug use.  If you don’t have HIV, taking PrEP every day can lower your chances of getting HIV from sex by more than 90%.

Who should take PrEP?

Anyone who has sex with a partner who has the virus, anyone who has condomless sex with a partner whose status is unknown, and those who share injection drug or tattoo needles can benefit from being on PrEP.

If you would like to speak with a provider about whether or not you should start on PrEP, book an appointment to have a consultation with an experienced medical professional.

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

Our providers are vetted according to strict quality of care protocols determined by UCSF.

LGBTQ+ certified
Theresa Duggan, FNP-C
She /her

Theresa Duggan has over three years of experience providing LGBTQIA+ care. She is sex positive and feels it is important to provide care for the entire person. She is open-minded, an active listener, and is always striving to learn more to provide the best possible care.

LGBTQ+ certified
Dr. Sara Saginaw
She/her

Dr. Saginaw has 10 years of experience in hormone care and general family medicine. She started her practice in a smaller Texas town with limited LGBTQ+ services, and feels passionate about improving access to hormone care and improving quality of life for all people.

LGBTQ+ certified
Patrick Harrison, AGNP
He/him

Patrick is a proud member of the LGBTQIA community who has been practicing primary care for the past 5 years. He is experienced in providing STI treatment and PrEP care and looks forward to continuing to serve the community.

LGBTQ+ certified
Maxi Lohrengel-West, PA-C
She/her

Maxi has over 25 years of experience and was one of the first providers in Maui to see patients for PrEP. She is proud to be able to provide every needed medical service for everybody who comes to see her.

LGBTQ+ certified
Alisa Briceno Ramirez, ANP-C
She/her

Alisa has 3 years of experience providing ED treatment, PrEP, STI testing and treatment, and sexual health care. Having many friends and family members in the LGBTQIA+ community, she understands the struggles they go through, especially in healthcare. She aims to provide respectful, understanding, and kind medical care to all her patients and create an environment where they feel safe.

LGBTQ+ certified
Emma Todd, PA-C
She/her

Emma has 9 years of experience in primary care and 3 years of experience providing PrEP treatment and is experienced in HIV management, trans health, and other primary care areas. As an ally of the community, Emma believes in meeting her patients with empathy and compassion.

LGBTQ+ certified
Gabrielle Dorn, FNP-C
She/her

Gabrielle has three years of experience in primary care with a focus on preventative medicine, mental health, and LGBTQIA+ care. She has completed specialty training for HIV and PrEP therapy from Johns Hopkins University and the University of Washington. She is a member of the World Professional Association for Transgender Health (WPATH) and is a proud ally for the community.

LGBTQ+ certified
Kerri Taylor, PA-C
She/her

Kerri has 3 years of experience in primary care. It brings Kerri so much joy to be able to give communities access to PrEP treatment across the country. She invites all patients to come to her for comfortable, convenient, and non-biased care.

LGBTQ+ certified
Dr. Lynne Lazarus
She/her

Dr. Lazarus has over 23 years of experience practicing full scope family medicine. She has been involved with developing PrEP protocols for young adults and has practiced within a sex positive paradigm for years. She wants people to have fun, enjoy their bodies, and be safe.

LGBTQ+ certified
Mariah Mosley, FNP-C
She/her

Mariah has extensive experience in PrEP therapy and STD/STI treatment. She believes in treating every patient as if they are family, no matter their background. As an ally of the community, she understands the lack of support patients can have from friends and family, and as a provider, she is here to support and help in any way that she can.

LGBTQ+ certified
Matthew Caffey, PA-C
He/him

Matthew has been practicing medicine and working as a professor for over ten years. Living in diverse, multi-cultural, and international communities has encouraged Matthew's style of providing care that is centered around mutual respect, acknowledgement, and shared decision-making to ensure all patients' healthcare needs are met.

What to expect.

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

FAQs

PrEP consultation & prescription

Clinical providers specialized in LGBTQIA+ primary care

Major insurance plans accepted

Same-day or next-day appointment availability

No membership fees

As a primary care practice, we can treat you for many other conditions as well, streamlining your medical experience.

In network with most PPO insurance plans.

The appointment timeline

2 min

Book an appointment online

Select your state of residence, pick a provider and time, and confirm your insurance coverage for your real-time estimated costs before you finalize your appointment.

2-3 min

Download the app and prepare for your appointment

Download the app right after you book your appointment.

15-30 min

Complete your first appointment and start treatment

A few minutes before your scheduled appointment time, you will receive a link via the in-app chat to join the video call. Make sure that you are in an area with a strong cellular connection.

During your appointment, your provider will get to know you and create a treatment plan tailored for you.

Your provider will send any prescriptions to your preferred pharmacy, and we will alert you in the app when your prescription is ready for pick-up. (Mail-order prescription service is available in some states; please ask your provider). This can take up to 24 hours after your appointment.

Anytime after appointment

Continue care through Circle Medical

You can manage your regular follow-ups by booking and rescheduling your appointments through the app.

If you need any bloodwork, your provider will be able to place the order at a lab near you (via Quest Diagnostics or LabCorp), where you can go to get your blood drawn. The results will be uploaded to your app automatically.

If you have any questions or need to contact your provider, use our in-app chat to message your care team.

Your care team will message you when you have a prescription or refill ready for pick-up at the pharmacy.

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 70+ providers offer annual checkups, on demand video appointments, specialist referrals, and more.

Get Care

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

PrEP Treatment

Can anyone receive PrEP treatment through Circle Medical?

Yes, anyone who is 18+ and permanently resides in a state that we service is eligible for treatment through our practice.

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 PrEP is right for me?

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 prescribing PrEP.

Your clinician will be able to discuss your treatment options with you and answer any questions you may have, about PrEP 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 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, if you have them, are 20 minutes each.

Billing

What is the total cost of PrEP 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). During your appointment, you can discuss any health concerns you may have, whether related to PrEP or not.

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.

Secure Chat with your Care Team

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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