Pricing
Simple, upfront pricing. No monthly fees. No surprise bills.
Initial hormone therapy appointment
$259
Follow-up hormone therapy and PrEP appointments
$195
Labs can be covered by insurance or are $99 through True U.
All expenses are eligible for HSA and FSA reimbursement.
In a few states, Medicaid recipients are not permitted to pay for covered services out-of-pocket and thus will need to find an in-network provider.
Our Services
We are a full-service virtual clinic offering hormone therapy and sexual health care that centers your autonomy and well-being.
Estrogen+ Therapy
If you're seeking estrogen-based hormone therapy, we offer estradiol in a variety of forms: pills, patches, and injectables. We also commonly prescribe testosterone blockers (anti-androgens), finasteride, and—if desired—progesterone. Your care plan is fully tailored to your goals and needs.
Curious about starting estrogen? Talk with a provider about what’s possible.
Testosterone Therapy
For folx looking for testosterone hormone therapy and/or testosterone replacement therapy, we offer injectable testosterone, as well as topical routes such as creams, gels and patches.
Want to explore testosterone options? Begin your care journey here.
Prep & STI Testing
PrEP – A safer way to play
PrEP is an anti-viral treatment to prevent HIV in those who are at a higher risk of contracting HIV. Taken daily, PrEP medications can prevent up to 99% of HIV infections. Ask your True U provider if PrEP is right for you.
STI testing
Routine STI testing helps ensure your health and the health of your partners. We offer comprehensive STI testing including HIV, Gonorrhea, Chlamydia, Syphilis, Hepatitis B and C. We encourage you to talk with your True U provider to discuss your sexual health care and wellness!
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We are a full-service virtual medical clinic.
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We are your partners in care.
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We are secure, private, & confidential.
“I love True U Clinic. Julie at True U Clinic has been nothing short of spectacular in assisting me. I am 2 months into feminizing hormone treatment and have never felt better. True U Clinic is simply the best.”
Marli
The True U Difference - Care That Puts You First
| True U Clinic | Other Solutions |
|---|---|
| No recurring membership – pay only for what you need, when you need it. | Recurring membership, regardless of when you use it or need it. |
| Digital video appointments. Easy, private, secure | In-person |
| Labs your way, on your own time | Inflexible lab process |
| Short appointment wait time – get started this week | Long appointment wait times |
| Fastest response time – you are our priority! | Long response times, if at all responsive |
| Easy and secure booking and appointment management portal | No portal |
| Dedicated health care professional | Rotating staff of health care professionals |
| Knowledgeable, supportive staff | Staff may not be knowledgeable or supportive about trans-specific concerns or issues |
| 100% Five-star reviews | Mixed reviews |
We serve over 1,500
patients across 30+ states.
January ‘26
Initial Appointment $259
Follow Up Visit $195
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Total $454
What Your First Year Could Look Like
An example for new patients starting hormone therapy
April ‘26
Follow Up Visit $195
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Total $195
July ‘26
Follow Up Visit $195
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Total $195
October ‘26
Follow Up Visit $195
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Total $195
First Year Total: $1039*
Your first year includes a comprehensive intake plus three follow-up appointments. No memberships, no hidden fees — just pay for the care you receive.
*If you choose to pay for labs out of pocket, they cost $99/visit and are required before each appointment with your True U Clinic provider. If you have insurance, we encourage you to submit your labs to your insurance provider for potential reimbursement.April ‘27
Follow Up Visit $195
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Total $195
October ‘27
Follow Up Visit $195
————————————————Total $195
Second Year Total Cost: $390*
Ongoing care typically requires two short, supportive check-ins per year.
*If you choose to pay for labs out of pocket, they cost $99/visit and are required before each appointment with your True U Clinic provider. If you have insurance, we encourage you to submit your labs to your insurance provider for potential reimbursement.At this time, Medicaid recipients are not permitted to pay for covered services out-of-pocket and thus will need to find an in-network provider.Important Notes: Lab work is required before each appointment. You can use your insurance, or pay $99 per visit out of pocket.Most prescriptions are covered by insurance, or cost around $30 without insurance.Quarterly appointments in the first year; twice-yearly thereafter.No contracts. No monthly fees. Cancel anytime.
Frequently Asked Questions
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We typically have appointments openings within ten days. You can easily, quickly, and confidentially schedule your appointment now!
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There are three ways to complete your lab work.
1. Visit a LabCorp location
You may schedule an appointment at a LabCorp location near you to have your labs drawn.
You have two options:
• Use insurance: LabCorp will bill your insurance directly.
• Self-pay through True U ($99):
If you choose the $99 self-pay option, you must purchase the lab order through True U before going to LabCorp.
Do not walk into LabCorp and request the labs yourself, as pricing may be significantly higher.2. Have labs drawn at home
A mobile phlebotomist can come to your home to collect your blood sample.
Costs:
• Mobile draw fee: $99
• If you choose self-pay labs, the lab panel is $99If you choose self-pay labs, you must purchase the lab order through True U before scheduling the mobile draw.
3. Visit a walk-in clinic of your choice
You may also have your labs drawn at a walk-in clinic or lab near you.
You have two options:
• Use insurance: The clinic will bill your insurance.
• Self-pay through True U ($99):
If you choose self-pay, True U will ship a lab kit to you that you bring to the clinic for the blood draw.
You must purchase the lab order through True U before going to the clinic.Important note about self-pay labs
If you choose the $99 self-pay lab option, it must be arranged and paid for through True U before visiting any lab or clinic.
If you go directly to LabCorp or another clinic without purchasing the self-pay labs through True U first, True U cannot guarantee pricing and is not responsible for any out-of-pocket costs charged by the lab.
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We will send your prescription to the pharmacy of your choice, including mail-order pharmacies.
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Insurance may cover your medications. Out-of-pocket costs for medications are typically $20-60/month, depending on route of administration, types of medications, etc. If you self-pay for medications, we recommend using a GoodRx coupon for the lowest prices.
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Consultation visits include STI testing, PrEP, and other hormone therapy needs outside of routine follow-up visits. The cost of consultation visits is $195/visit.
PrEP is an anti-viral treatment to prevent HIV in those who are at a higher risk of contracting HIV. Taken daily, PrEP medications can prevent up to 99% of HIV infections. Ask your True U provider if PrEP is right for you.
Routine STI testing helps ensure your health and the health of your partners. We offer comprehensive STI testing including HIV, Gonorrhea, Chlamydia, Syphilis, Hepatitis B and C. We encourage you to talk with your True U provider to discuss your sexual health care and wellness!
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No, we do not charge monthly membership fees. At True U, you only pay for the care you receive.
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In short, yes. At True U, we understand that transferring care can sometimes feel overwhelming. That’s why we’re committed to providing our clients with a seamless and stress-free process. Rather than requiring a two-visit start-up, we take the initiative to order labs before your first visit, allowing us to seamlessly continue your prescription from the very start. Our goal is to ensure your transition is as smooth as possible and to provide the high-quality care you deserve from day one.
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We provide safe and medically supervised hormone therapy services in a safe, judgement-free, and secure setting utilizing modern HIPAA-compliant technology and the most up-to-date clinical practices.
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Yes, as long as your provider is registered to practice in your state, you can choose your provider. You can sign up for your appointment (and choose your provider) by navigating to our online scheduling portal.
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The bad news: We don’t take insurance. The good news: This means your information stays private, and you’ll never have to worry about claims being denied. Plus, we’ll provide you with a Superbill that you can submit to your insurance provider for potential reimbursement. And, to make things even easier, we accept HSA and FSA payments!
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True U is self-pay only — we don't bill Medicaid or any other insurance. Whether you're able to self-pay as a Medicaid recipient depends on your state. See our full state-by-state guide, or you're still not sure, reach out to our team and we'll help clarify.
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Our services are typically available for individuals over the age of 18. However, in certain states, we may be able to provide care for those under 18 with parental or guardian consent. Please call our office for more details on availability of care.
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Yes. Emily, one of our Family Nurse Practitioners, is fluent in Spanish and is happy to care for Spanish-speaking patients.
Spanish-speaking patients located in Pennsylvania, New Jersey, and Delaware may schedule telehealth visits with Emily and receive care fully in Spanish. She has extensive experience supporting patients with gender-affirming hormone therapy as well as reproductive and sexual health care.
If you would prefer to have your visit in Spanish, simply note this when scheduling your appointment and we will make sure you are booked with Emily. Sí. Emily, una de nuestras enfermeras practicantes de familia, habla español con fluidez y con gusto atiende a pacientes hispanohablantes.
Los pacientes que se encuentren en Pensilvania, Nueva Jersey o Delaware pueden programar consultas por telemedicina con Emily y recibir atención completamente en español. Emily tiene amplia experiencia brindando atención de afirmación de género, así como atención de salud reproductiva y sexual.
Si prefiere tener su consulta en español, simplemente indíquelo al programar su cita y nos aseguraremos de que sea atendido(a) por Emily.