GAC:
Telehealth
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Protect Yourself & Your Family
Some states have laws or rules that directly restrict “online” (telehealth) access to gender-affirming care, but the impact differs sharply for minors vs. adults.
Several states’ youth-care restrictions are written broadly enough that providers and families treat telehealth prescribing/support as legally risky or directly barred, even when the statute is not framed as a “telehealth ban” headline.
Kaiser Family Foundation’s tracker notes that some state restrictions prohibit care including via telehealth.
Bottom line
Yes, some states restrict “online access” to gender-affirming care.
These restrictions are most common and most explicit for minors (e.g., Tennessee).
Adult online restrictions exist but are less common;
Florida is the standout example because it effectively blocks telehealth adult care through in-person requirements.
1) States that restrict gender-affirming care via telehealth (especially for minors)
Tennessee:
(explicit telehealth coverage in the ban)
- Tennessee’s SB 1 (2023) makes clear that its prohibitions apply not only to care delivered in-state, but also to care delivered “via telehealth” when the minor is located in Tennessee.
- This is one of the clearest examples of a state law designed to cut off remote/online pathways to care for minors.
Texas:
(telehealth restrictions in state policy materials)
- Texas’ youth-care ban environment includes explicit policy discussion of restricting out-of-state providers offering care via telehealth to minors located in Texas, and related rulemaking direction.
- (Texas is also a state where the overall legal climate significantly reduces practical availability even beyond telehealth.)
QueerDoc
Operates under an informed consent model of care.
- Offers Adult and Adolescent Virtual Gender Affirming Healthcare
- Available in: Alaska, California, Florida, Hawaii, Idaho, Oregon, Montana, Utah, Washington, and Wyoming
- Ships Gender Affirming Hormone Therapy (GAHT) medication direct to you (in partnership with HoneyBee Health)
- Does not accept insurance/sliding-scale fees available
- Does not accept Medicare, but will assist in finding a Medicare provider
- Services delivered via video platform
- Closed Captions available/Services in English, but translators are available
- Hormone therapy is not limited to patients with a binary gender presentation
Planned Parenthood
Operates under an informed consent model of care.
- Offers Adult and Adolescent Virtual Gender Affirming Healthcare
- Services: Estrogen, Anti-Androgen, and Testosterone HRT. Puberty Blockers, Surgery Referrals, Social/Legal Transition support*
- Check with your local PP health center about shipping Gender Affirming Hormone Therapy (GAHT) medications to you
- Cost varies depending on services/financial assistance may be available
- Accepts insurance
- Accepts both HSA and FSA payments
- Available in most states (with the possible exception of Louisiana, Wyoming, Mississippi, and North Dakota)
- Accepts Medicare/Medicaid
- Appointments delivered in-person and virtually
- Closed Captions available/Interpreters Available
- Hormone therapy is not limited to patients with a binary gender presentation
FOLX Health
Operates under an informed consent model of care.
- Offers Adult-Only (18/19+) Virtual Gender Affirming Healthcare
- Ships Gender-Affirming Hormone Therapy (GAHT) medications direct to you
- Does not offer pubertal suppression
- Operates on a Monthly or Yearly membership fee basis
- Takes Insurance
- Offers both Medical and Mental Health Care
- Available in the United States only (unless you are an active-duty military service member stationed internationally
- Does not accept Medicare/Medicaid
- Services delivered via video platform
- Closed Captions available/Interpreters Available
- Hormone therapy is not limited to patients with a binary gender expression
Plume Health
Operates under an informed consent model of care.
- Offers Adult-Only (18/19+) Virtual Gender Affirming Healthcare
- Ships Gender Affirming Hormone Therapy (GAHT) medications direct to you
- Does not offer pubertal suppression
- Operates on a Monthly or Yearly membership fee basis
- May take Insurance
- Offers Gender Affirming Hormone Therapy and Limited Mental Health Services
- Available in 37 states (check website for specifics)
- Does not accept Medicare/Medicaid
- Collaborates in accepting financial support through Point of Pride
- Services delivered via video platform
- Closed Captions and Interpreters may be available
- Hormone therapy is not limited to patients with a binary gender presentation
True U Clinic
Operates under an informed consent model of care.
- Offers Adult-Only (18/19+) Virtual Gender Affirming Healthcare
- Ships Gender Affirming Hormone Therapy (GAHT) medications through NewEra Pharmacy, or Empower Pharmacy partners
- Operates on a Monthly or Yearly membership fee basis
- Takes Insurance
- Offers both Medical and Mental Health Care
- Available in the United States only (unless you are an active-duty military service member stationed internationally
- Does not accept Medicare/Medicaid
- Services delivered via video platform
- Closed Captions available/Interpreters Available
- Hormone therapy is not limited to patients with a binary gender presentation
Are you concerned about the legitimacy of ordering from an online pharmacy?
Check them out at LegitScript.
HoneyBee Health
- Mail-order hormone replacement therapy (HRT) medications (may not include testosterone)
- Does not accept insurance
- Requires a medical provider’s prescription
- Ships to all 50 states, Washington, D.C., and Puerto Rico from their pharmacy in Culver City, California
- Shipping options
- Sample price for: Estradiol, 1mg/30 count ($8.90)
- For testosterone products, contact HoneyBee Pharmacy to confirm availability
New Era Pharmacy
- Mail-order hormone replacement therapy (HRT) medications
- Does not offer pubertal suppression medication
- NewEra is a compounding pharmacy
- Accepts insurance
- Requires a medical provider’s prescription
- Ships to most states from their pharmacy in Portland, Oregon
- Shipping options
The HRT Club
- Mail-order Gender Affirming Hormone Therapy (GAHT)
- Does not offer pubertal suppression medications
- Annual Membership/$99.00 per year
- Does not accept insurance
- Does not accept HSA or FSA
- Requires a medical provider’s prescription
- Ships to 42 states. Contact them to confirm if your state is included
- Free shipping for orders of $50 or more
- Sample price for: Estradiol, 1mg/30 count ($10.00), Testosterone Cypionate, 1ml/Single Use Vial ($15.00)
CostPlus Drugs
- Mail-order Gender Affirming Hormone Therapy (GAHT)
- Does not ship testosterone
- Does not ship pubertal suppression medications
- Does accept select insurance plans. Contact CostPlus Drugs directly for more information
- Accepts some HSA and FSA cards
- Requires a medical provider’s prescription
- Ships to all 50 states and U.S. territories. Shipping to AFO/FRO/DPO addresses is not available at this time
- Standard shipping is $5.00 (as of January 2026)
- Sample price for: Estradiol, 1mg/30 count $6.77 (as of January 2026)
