I am not really sure if Hormones are covered under different Health Insurance but if you do pay for your hormones how much do they usually cost per month? Just an estimate is fine. I am just trying to figure out a lot of things and before I go to a gender therapist and all that I just want to know what I want and where I want to do when it comes to being transgender. I know that taking hormones can be a major choice and I just want to make sure that I make the right one so I was just curious about the money side of it and how much it costs?

Also are there different types that you can use? Or is it pretty much the same kind that most transgender women use that help you transition to becoming more feminine? Thanks

Quote from: Sandy74 on October 10, 2015, 04:01:39 PM
Also are there different types that you can use? Or is it pretty much the same kind that most transgender women use that help you transition to becoming more feminine? Thanks

You could have a look at this thread:
https://www.susans.org/forums/index.php/topic,196831.msg1751795.html#msg1751795

Hi Sandy,

The standard regimen for a trans woman without an orchiectomy includes an estrogen, such as estradiol, and an anti-androgen, usually spironolactone in the US.

Spironolactone is cheap, like $10/mo with coupons like GoodRx.  I am older, so I use estradiol patches to minimize the chance of liver damage and thromboembolisms, but they are expensive without insurance ($100/mo or so.)  Oral estrogens are the cheapest, but I have no experience with them.

Progestins are also used as anti-androgens, but not all endocrinologists advocate their use (mine does not).

I have read many of your posts, and I know you suffer a great deal from gender dysphoria, poor thing. I think you should ask your doctor/therapist about low-dose HRT, just for the mental relief it can bring.  It may bring you some peace, without any major physical changes, and buy you time to consider what you want to do going forward.

Best wishes,

Terri

I didn't know that Spironolactone had gotten so inexpensive, or that there was a coupon available; it used to cost me $80.00 per month the last time I paid out of pocket for it, but that was 8 years ago, and I am prescribed a high daily dose. As far as oral estradiol, I think I was paying something like $20-$30 dollars per month, but I am also prescribed a high daily dose of this medicine.  A vial of Estradiol Valerate for intramuscular injections is expensive, I think I paid around $150.00 for my prescription out of pocket, but it lasts about 3 months; however, if you go through a compounding pharmacy it is usually less expensive.

With my insurance coverage, it's $10/month each for Spiro and Estradiol.  So $20/month total.  Not sure what Progesterone will cost if/when I go on that though.

Without insurance Spiro ($53) plus Estradiol ($10) plus progesterone ($88.) costs me around $151 per month.


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 I pay 38.67 a month. For my meds and am hopeful it's 44.00 at the beginning of the new year.

Under my insurance plan, spiro the co pay is $3 for me and E is $5 co pay now. Walmart has E on their $4 list or $10 for 90 pills. Spiro is a blood pressure drug and it does double duty for me.

P is covered as birth control for $5 co pay.
So in total I pay $10/ month for my hormones and spiro.

If you were paying cash you'd be looking at around $40 per drug except for E which is $10 thanks to Walmart and other big box stores discounts.

Well if mine wasn't covered by my first nation status it would've costed me just about $20

The prices vary substantially depending on location and insurance plan. I pay $12/mo for Spiro and around $90 a month for Estrogen patches WITH insurance. It is worth noting that I use a name brand because I am allergic to the adhesive used on the generic version of the patch.

Yeah, it definitely depends on both location and insurance. I pay $15/month for a generic for Vivelle Dot with insurance; according to the paperwork from Target, without insurance it'd be more like $35 around here. Before the generic it was a $50 copay (or $90 without insurance).  Incidentally, that's for what would be considered "low dose," if that's relevant to you; I'm basically paying for the amount of patches per month that a cis woman in menopause would be, which makes it easier to get from insurance and also cheaper. Some trans women have to wear more than one patch at a time, etc.

Quote from: KristinaM on October 10, 2015, 07:21:59 PM
Not sure what Progesterone will cost if/when I go on that though.

$8.74 for me.

Spiro: $10
Estradiol: $10
Progesterone: $8.74

Progesterone seems to be the odd one out. Every other medicine I've been prescribed so far this year has been $10.

Quote from: lisarenee on October 11, 2015, 08:07:19 PM
$8.74 for me.

Spiro: $10
Estradiol: $10
Progesterone: $8.74

Progesterone seems to be the odd one out. Every other medicine I've been prescribed so far this year has been $10.

I believe that due to Obamacare, P is covered as birth control and they have to cover birth control for males and females.

Guess I'm lucky... Estradiol is $1 copay for me


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My Spiro and estradiol cost about 18$ every 3 months with insurance. Probably would be around 200$ without it.

I pay $17 a month without insurance for generics at a clinic that specializes in LGBT patients.

Both E + Spiro 3 month supply = $48
VA Military benefits really help!

Quote from: lisarenee on October 11, 2015, 08:07:19 PM
$8.74 for me.

Spiro: $10
Estradiol: $10
Progesterone: $8.74

Progesterone seems to be the odd one out. Every other medicine I've been prescribed so far this year has been $10.

I looked up my prescriptions on my drug plan's website and they indicated $8.74 was full price (less than the $10 copay). They listed the regular prices as about $10 more ($39 vs. $29). Since my company is changing insurance providers (and the new plans are all deductible only and may not cover Oral HRT at all), I'm going to be looking on eHealth come Sunday and/or see if I can get a 3 month mail order script when I see my HRT doctor at the end of next month.

Thankfully my estradiol and spironolactone are both covered by my insurance. 

Therefor I only have to pay $10 for a 90 day supply of estradiol and $20 for a 90 day supply of spiro.

I have no insurance but having my hormones are extremely important to me..My income
is solely from social security retirement..my hrt meds average 12-15% of that per month
though I usually maintain a two to four month supply on hand.