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Meet Nathan

Nathan

Nathan's story

HRT Access Fund recipient

Nathan (he/they) is a trans person living in Kentucky, where Medicaid does not cover HRT. Relying on SSI, Nathan receives $691.50 each month, after paying $471 toward rent, only $220 remains for all other expenses. Without a car, telehealth is the only realistic option, but the out-of-pocket costs make consistent access impossible.

For Nathan, support would mean finally being able to move forward with transition without sacrificing basic needs. “It would mean I could access the care I need and move forward with my transition,” they shared.

Nathan's timeline

  • Award Granted

    August 25, 2025

    Nathan has been granted an HRT Access Fund award!
  • HRT Onboarding Date

    September 8, 2025

    Nathan has been onboarded by their HRT Provider!

Grant details

$4,900 towards gender-affirming care.





About Testosterone+

On average, it costs $1,200+/year for Nathan's 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.