The U.S. government's embrace of telehealth was a gamechanger for those seeking gender-affirming care. But upcoming changes may erase those gains
And perhaps no segment of the health space changed more quickly—and quietly—amid the pandemic than that of gender-affirming care for transgender patients. Thanks to temporary changes that allow federal health payments to operate on a virtual plane—and with private health providers largely following that lead, it is now totally normal and common for hormone replacement prescriptions, counseling, and even hair-replacement treatments to operate completely outside brick-and-mortar doctor offices.
“Telehealth in some way is going to be a staple with pretty much every healthcare organization that there is,” says Dr. Jerrica Kirkley, the chief medical officer and co-founder of, the nation’s largest and leading telehealth practice for gender-affirming health care. “It’s here to stay in a big way, especially with our community.
Plume began before the pandemic roiled so much of Americans’ relationship with health providers, although even before Covid, an overwhelming majority of trans patients said they much preferred a telehealth option for accessing gender-affirming care. The trans experience already carried significant emotional roadblocks well beyond insurance forms; being
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