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Meet Olive

Olive

Olive's story

HRT Access Fund recipient

Olive (he/she) is a 56-year-old bigender transfemme person living in Tennessee, where Medicaid will not cover HRT. Though she is eager to begin her transition, financial and medical barriers have made accessing care nearly impossible. Living with HIV and on disability, Olive’s limited income is already stretched thin, leaving her unable to cover the initial costs of starting HRT.

For Olive, support would mean much more than transition; it would also ease the strain of living with HIV and osteoporosis, while finally allowing her to live more comfortably in her body. “I have always been effeminate and am tired of putting on pants that never fit me. I would be grateful forever to receive help,” she shared.

Olive's timeline

  • Award Granted

    August 28, 2025

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

    September 16, 2025

    Olive has been onboarded by their HRT Provider!

Grant details

$1,320 towards gender-affirming care.





About Estrogen+

On average, it costs $1,700+/year for Olive's 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.