Meet Zander
Zander's story
HRT Access Fund recipient
Zander (they/them) is a nonbinary person living in a conservative, anti-trans area of Tennessee where many local doctors will not listen to or respectfully treat fem-presenting or disabled patients. They avoid seeking care through insurance-covered providers out of fear of being mistreated and of negative notes going into their medical record. Telehealth is the most realistic path to care, but those services require large up-front payments or copays that are out of reach.
Unemployed because of disability and enrolled as a full-time student, Zander can only work part time and has no financial cushion. With rising housing and living costs, paying out of pocket for HRT is not possible, and even insurance-based care would likely leave them with unaffordable copays. “I’m terrified that I won’t be able to start HRT and at least get the lasting effects before Tennessee takes away my access altogether,” they shared.
Zander's timeline
-
Award Granted
August 19, 2025
Zander has been granted an HRT Access Fund award! -
HRT Onboarding Date
September 2, 2025
Zander has been onboarded by their HRT Provider!
Grant details
$1,320 towards gender-affirming care.
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Help us support more people like Zander get the care they need and deserve.
About Testosterone+
On average, it costs $1,200+/year for Zander'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.