Some planed parent hood locations will provide HRT support at a reasonable cost and there are endos/doctor who will see you in their office at a more reasonable price. The place where I get my HRT without insurance coverage charged $500 for the first visit and then $100 for the visits after that. Granted, if you are pre surgical, you would need a letter. In addition, you would need to pay the labs as well and without insurance they might be more than I paid. On the other hand, the little blue pill at a transition dosage would cost you about $40 for a 6 month supply. As I don't use a blocker, I am not sure what that would cost.
I also faced a problem with Obama Care because my deductible was $3500 and there was no way I came anywhere near that much medical care in a year so the policy never kicked in. In the mean time, the insurance company collected over $8000 a years without ever paying a cent for my care.