Meet Astraia
Astraia's story
HRT Access Fund recipient
Astraia (she/they) is a 29-year-old gender-nonconforming person facing steep systemic and financial barriers to HRT. There are no endocrinologists in their insurance network who will accept transgender patients, forcing them to seek out-of-network care they can’t afford. Even when an out-of-network option exists, Astraia isn’t sure whether their insurance would cover prescriptions, and the cost of appointments alone puts care out of reach.
Astraia also navigates autism, ADHD, and bipolar disorder, which makes steady full-time work difficult and limits their income. On a fixed budget, paying for an out-of-network specialist isn’t possible, and worsening dysphoria has made daily life harder. “My gender dysphoria has been really, really bad. I’m reaching out for any resources that can help me,” they shared. Receiving 12 months of HRT support would remove a major obstacle, offering relief, stability, and space to focus on health and functioning.
Astraia's timeline
-
Award Granted
August 18, 2025
Astraia has been granted an HRT Access Fund award! -
HRT Onboarding Date
September 10, 2025
Astraia has been onboarded by their HRT Provider!
Grant details
$1,480.50 towards gender-affirming care.
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Help us support more people like Astraia get the care they need and deserve.
About Estrogen+
On average, it costs $1,700+/year for Astraia'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.