Meet Miah
Miah's story
HRT Access Fund recipient
Miah (she/her) is a 19-year-old college student and the first in her family to begin HRT, navigating the process largely on her own. Living in Alabama, where affirming providers are scarce, she has relied on Plume and has been paying out of pocket using her school savings. Balancing student loans, grants, and daily expenses, she worries about how long she’ll be able to continue treatment without more support.
Despite these challenges, Miah remains determined to keep moving forward. “Receiving 12 months of HRT support would mean stability, peace of mind, and the chance to focus on school and my growth without constantly worrying about how I’ll afford my care,” she shared.
Miah's timeline
Grant details
$1,480.50 towards gender-affirming care.
Donate
Help us support more people like Miah get the care they need and deserve.
About Estrogen+
On average, it costs $1,700+/year for Miah'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.