Meet Alexandria
Alexandria's story
HRT Access Fund recipient
Alexandria (she/her) has faced multiple barriers to accessing HRT, such as financial, legal, and familial. While she is covered under her parents’ Medicare, Texas law prevents trans-related care from being included. Her employer does not provide benefits and has not given her enough hours to afford out-of-pocket visits, leaving her without options for care. On top of these challenges, she cannot rely on family support, as her relatives would not affirm her identity.
Despite these hardships, Alexandria remains determined to begin her transition. She briefly accessed HRT in the past, and it was the first time she truly felt like herself. She shared, “Receiving a grant to let me genuinely start transitioning would mean the world to me. To be able to look at myself and know that I’m finally on the path is a dream.”
Alexandria's timeline
-
Award Granted
August 21, 2025
Alexandria has been granted an HRT Access Fund award! -
HRT Onboarding Date
September 2, 2025
Alexandria has been onboarded by their HRT Provider!
Grant details
$1,320 towards gender-affirming care.
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Help us support more people like Alexandria get the care they need and deserve.
About Estrogen+
On average, it costs $1,700+/year for Alexandria's care.
- What is it?
- Accessibility
- After care
What is it?
Estrogen+ refers to the gender-affirming hormone replacement therapy (HRT) methods that some trans women, trans femme, and non-binary people take that result in physical changes which align with their gender identity. Every person's preferences and personal healthcare needs vary, so this can include oral medications, injections, and transdermal patches.
How accessible is it for trans folks to receive this care?
For trans folks who live in states most impacted by anti-trans healthcare legislation, it can be extremely difficult to find a knowledgeable, trans-affirming provider as well as access prescription medication. Many insurance plans do not cover HRT. For trans folks without insurance coverage, the ongoing out-of-pocket expense can be challenging.
What is the impact of this care on the recipient’s life?
Estogen+ introduces a wide range of feminizing physical, emotional, and psychological changes that align with their gender identity. This often leads to a more positive emotional well-being, increased confidence, increased safety when in public, and better opportunities at employment and more.