Meet Kirian
Kirian's story
HRT Access Fund recipient
Kirian (they/them) is a Black nonbinary person navigating racism, fatphobia, and inconsistent care that have made it nearly impossible to access affirming medical providers. Though Medicaid is supposed to cover HRT, they’ve struggled to find providers who accept it while also offering safe, body-inclusive care. For Kirian, telehealth feels like the safest and most realistic option, but those services don’t currently accept their insurance.
Working in queer community organizing, Kirian earns about $800 a month and carries more than $2,000 in credit card debt from car expenses. With limited income, they’ve been unable to contribute to household expenses in years, and HRT has remained out of reach. “HRT feels like a luxury to me right now, although it would be a key to allowing me to finally exist in greater alignment with my whole self,” they shared.
Kirian's timeline
-
Award Granted
August 22, 2025
Kirian has been granted an HRT Access Fund award! -
HRT Onboarding Date
September 9, 2025
Kirian 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 Kirian get the care they need and deserve.
About Testosterone+
On average, it costs $1,200+/year for Kirian's care.
- What is it?
- Accessibility
- After care
What is it?
Testosterone+ refers to the gender-affirming hormone replacement therapy (HRT) methods that some trans men, trans masc, 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?
Testosterone+ introduces a wide range of masculinizing 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.