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. States available for gender-affirming care: CA, VA, WA, IL, PA, NY, MD, TX, OR, MA, DC, AZ, CO, WI, IA, ME, NJ, NM, UT, SC, NV, VT, OK. There may be instances where your provider may recommend that you see a specialist for gender-affirming hormone therapy based on your history. The decision to provide care is always up to the providers discretion

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

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 through Quest or LabCorp to be completed. 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. If medically indicated, your prescriptions will be sent to a pharmacy near you. You will then follow up with your provider at an agreed upon cadence to see how your care plan is going and to ensure you are meeting your gender-affirming goals.

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

Circle Medical practices care in alignment with 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.

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 care 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.

Do new patients need to prepare anything for their first appointment at Circle Medical?

For a detailed breakdown of what you need for your first appointment with Circle Medical, read the article below: How to Prepare for Your First Appointment

Why would I choose a virtual telemedicine appointment over going to my doctor's office?

Virtual appointments allow our patients to see their providers in the comfort of their own homes. Our providers are also able to offer more flexible hours beyond what in-person doctor's offices provide.

What if I need in-person testing or examinations?

If any in-person care is needed, such as bloodwork, vaccinations, or other testing, our providers are able to send the appropriate request to one of our 4,000+ partner lab locations that is convenient for you. Results will be integrated with our HIPAA-compliant mobile app so that patients have access to all of their medical records in one secure place.

What states do you operate in?

Circle Medical is currently offering care in 32 states and the District of Columbia. To see our full list of currently available states, begin booking an appointment. 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 long are appointments?

Standard video appointments are 30 minutes, other appointment type lengths may vary.

Does my provider accept my insurance?

Our practice accepts a wide range of commercial insurances. Please note that individual providers may be in-network with different insurances, and we are unable to accept certain plan types based on our insurance contracts. To confirm if we accept your insurance, you can go through our insurance verification during the appointment booking process, or on our mobile or web apps.

How much will my appointment cost if I’m using insurance?

We will provide a cost estimate at booking, although there are cases where insurance will not provide real-time benefit information. Your final out-of-pocket cost is determined after we submit a claim to your insurance, and is based on the details of your insurance plan. For an exact estimate of your cost, we always recommend contacting your insurance directly.

How does billing work?

If you choose to self-pay, you will be sent an invoice shortly after your provider finalizes your appointment summary (typically within two days). Any balances that are not paid within 48 hours of invoice notice will be charged to your default payment method on file. If you choose to bill your appointment to insurance, it typically takes 4-6 weeks for your insurance to process your claim and return your out-of-pocket cost, including any applicable deductibles, co-pays, and/or coinsurance. The amount on the invoice should reflect the balance that is owed after your insurance has paid its share. You will be sent an invoice letting you know of an upcoming charge for your out-of-pocket cost. Any balances that are not paid within 48 hours of invoice notice will be charged to your default payment method on file.

Online gender-affirming care for adults made easy

Care rated 4.9 by 300k+ patients

Find out if hormone therapy is clinically appropriate for your transition goals

Get care from providers who are experienced, affirming, and on your side

Start your journey now, without waiting lists, all from the privacy of home

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A patient receiving gender-affirming care at Circle Medical

Every person’s experience with gender-affirming hormone therapy is different.
The physical, emotional, and social effects vary by individual, and no particular result or outcome is guaranteed.

Quality gender-affirming care shouldn't be expensive. Visits cost on average $35 with insurance.

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Gender-affirming care with compassionate support

Access to affirming hormone therapy shouldn't depend on where you live or how long you can wait. Circle Medical connects you with experienced, affirming providers — often the same day.

A provider who gets it

Every Circle Medical provider offering gender-affirming care is experienced, LGBTQIA+ affirming, and committed to making you feel safe and heard.

Care built around your goals

Work with your provider to build a clinically appropriate plan around your specific transition goals.

With you for the whole journey

Throughout your journey, your provider will check in regularly, monitor your hormone levels, and adjust care as your needs evolve.

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How to explore whether
gender-affirming care is right
for your needs

Affirming, experienced providers managing your care from first appointment
to ongoing treatment, all through the Circle Medical app and web portal.

1. Find an affirming provider
and book a consultation

Same-day and next-day availability from 300+ board-certified providers who understand gender affirming care.

2. Talk through your goals,
not just your symptoms

Your first appointment is a conversation about who you are, what you want, and what your path forward might look like.

Treatment plan Personalized care and guidance

Lab monitoring Regular hormone testing to track your progress

Prescriptions GAHT and other treatments, when clinically appropriate

3. Get the right care with confidence

Your provider prescribes what's clinically appropriate, explains every step, and stays with you as your care evolves.

Pricing and insurance

Clear, transparent pricing that accepts most major insurance plans, making quality healthcare more accessible and easier to navigate.

Insurance

Avg out-of-pocket cost per appointment

$35*

Get an estimate

Self-pay

$120

per appointment

You won't be charged until after your appointment. We can't accept patients with Medicaid or Medi-Cal insurance even if you choose to self-pay.

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No membership costs or hidden fees. Ever.

*Out-of-pocket costs vary depending on your plan and coverage; refer to your insurance benefits for details.

How care works

Making the decision to start gender affirming hormone therapy is a significant step. We've built a process that respects that — clear, unhurried, and guided by providers who genuinely care about your needs.

The Circle Medical app showing a patient's health records

Why Circle Medical

2,000,000+

Video appointments held

300,000+

Patients treated

Treatment plans

Accessed in the app

300+

Available providers

In 32 states

From coast to coast

Care coordination

Referrals when needed

2,000,000+

Video appointments held

300+

Available providers

300,000+

Patients treated

In 32 states

From coast to coast

Treatment plans

Accessed in the app

Care coordination

Referrals when needed

Don't take our word for it

Excellent bedside manner, honest and trustworthy. A fantastic Physician and an amazing ally to have throughout my transition journey. She will slow me down if it's needed and I always feel she's doing her due diligence in my case.

Hailey

Elizabeth is amazing! She takes excellent care of me during appointments and in-between.

George

I love Dr Fontanilla. I have never felt so comfortable receiving gender-affirming care before. Thank you so much, Dr. Fontanilla!!!

Darryl

Always friendly! I always feel comfortable talking to him and he asks me my thoughts on his treatment plans and allows it to be more of a collaborative process. I love it!

Ava

I appreciate it a lot with my follow ups and medication for my journey along the way.

Andrew

Very kind and informative. Absolutely one of the best interactions I have ever had with a health care provider.

Bradley

Awesome Doctor, Listens and Cares.

Frederique

Daniela was great. She explained the process of care and path quite well. I felt seen, heard, and possessed self-agency during the visit. I would highly recommend Daniela.

Dahlia

Katelyn was very helpful and provided a lot of great direction in our conversation. I felt like she genuinely cared about my medical needs, and was a great conversationalist, in addition to providing great care.

Lawrence

I have nothing but good things to say. Very professional, detailed, and polite. The best experience I've ever had with a medical professional.

Alexandra

My first time ever having a consultation about hormone therapy and Dr. Ibarra made it the best!

Giada

She is awesome as always. She always makes sure that I feel better and comfortable. She really takes good care of my health too. She does not just give me meds but made sure that I'd be healthy. You can ask her anything without feeling anxious.

Frannie

What a phenomenal person Mia is. She was kind, compassionate, and knowledgeable. I am grateful to her for her fantastic care and looking forward to talking further with her about my journey. Thanks Mia!!

Evelyn

She has a level of care I need and I was pleasantly surprised at the depth of social concern she has. I'm excited to continue working with her!

Jeremy

I am so grateful to have found Dr. Mirza. She was warm, patient, wise, and always leaves me feeling seen and heard.

Cynthia

I am so happy with Dr. Lauren, she has been so understanding and compassionate towards my health and wellbeing. I would give her a 1000 star rating if it let me. Much Light, Love, and Positivity to Dr. Lauren and all of the wonderful folks at Circle Medical.

George

Ms. Smith has been the best PCP I have ever worked with. I'm very glad for both my physical and emotional health, she listens to every one of my concerns and ACTUALLY addresses them!

Beatrice

Love the convenience of the video consultations for refills on my ADHD medication!!! This is wonderful!!! Also love my health practitioner— he is fantastic!!! A++++++

Katherine

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“We're committed to
delivering
care that feels personal, thoughtful, and clinically sound.”

Dr. Alexandra Kreps, MD

Chief Medical Officer

300+ board-certified providers,
one is right for you

No matter which provider you choose, you will be seen by a clinician who cares deeply about your health and wants to help you live your happiest, healthiest life.

Circle Medical providers are held to an exceptionally high standard of compassionate, evidence-based care.

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