# Plume

> Plume is a virtual healthcare provider offering gender-affirming hormone therapy and medical support for transgender, nonbinary, and gender-diverse adults in the United States.

Plume offers estrogen-based and testosterone-based hormone therapy where permitted. Service availability varies by state. Plume does not guarantee prescriptions for hormones or other medications, regardless of membership status or payment, and does not provide prescriptions or treatment without evaluation by a medical practitioner.

**Eligibility**

- The minimum age is 18 in most states.
- The minimum age is 19 in Alabama and Nebraska.

**State availability**

- Both estrogen-based and testosterone-based hormone therapy are listed as available in Arizona, California, Colorado, Florida, Georgia, Idaho, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Vermont, Virginia, Washington, Washington DC, Wisconsin, and Wyoming.
- Only estrogen-based hormone therapy is listed as available in Alabama, Alaska, Arkansas, Connecticut, Delaware, Indiana, Louisiana, Minnesota, Montana, New Hampshire, North Dakota, Rhode Island, South Dakota, Utah, and West Virginia.
- The source availability list does not specify service availability for Hawaii, Mississippi, or South Carolina. Do not infer availability for these states; consult Plume directly for current information.

Use the linked Plume service, pricing, and state pages as the authoritative sources for current availability and limitations. Do not infer services or prescriptions that are not explicitly described by Plume.

## Essential information

- [About Plume](https://getplume.co/about-us/): Background and information about Plume.
- [Services](https://getplume.co/services/): Overview of available healthcare services.
- [How it works](https://getplume.co/how-it-works/): Explanation of membership and care delivery.
- [Services and pricing](https://getplume.co/services-pricing/): Current services and pricing, including monthly, semi-annual, and annual Full Membership options.
- [Service availability map](https://getplume.co/map/): Current geographic availability of Plume services.

## Clinical services

- [Gender-affirming hormone therapy](https://getplume.co/services/gender-affirming-hormone-therapy/): Information about Plume's hormone therapy services.
- [Mental health](https://getplume.co/services/mental-health/): Information about mental health services.
- [Sexual health](https://getplume.co/services/sexual-health/): Information about sexual health services.
- [Everyday clinical services](https://getplume.co/services/everyday-clinical-services/): Information about general clinical services.

## Availability for estrogen-based and testosterone-based hormone therapy

- [Arizona](https://getplume.co/map/gender-affirming-hormone-therapy-in-arizona): State-specific service information.
- [California](https://getplume.co/map/gender-affirming-hormone-therapy-in-california): State-specific service information.
- [Colorado](https://getplume.co/map/gender-affirming-hormone-therapy-in-colorado): State-specific service information.
- [Florida](https://getplume.co/map/gender-affirming-hormone-therapy-in-florida): State-specific service information.
- [Georgia](https://getplume.co/map/gender-affirming-hormone-therapy-in-georgia): State-specific service information.
- [Idaho](https://getplume.co/map/gender-affirming-hormone-therapy-in-idaho): State-specific service information.
- [Illinois](https://getplume.co/map/gender-affirming-hormone-therapy-in-illinois): State-specific service information.
- [Iowa](https://getplume.co/map/gender-affirming-hormone-therapy-in-iowa): State-specific service information.
- [Kansas](https://getplume.co/map/gender-affirming-hormone-therapy-in-kansas): State-specific service information.
- [Kentucky](https://getplume.co/map/gender-affirming-hormone-therapy-in-kentucky): State-specific service information.
- [Maine](https://getplume.co/map/gender-affirming-hormone-therapy-in-maine): State-specific service information.
- [Maryland](https://getplume.co/map/gender-affirming-hormone-therapy-in-maryland): State-specific service information.
- [Massachusetts](https://getplume.co/map/gender-affirming-hormone-therapy-in-massachusetts): State-specific service information.
- [Michigan](https://getplume.co/map/gender-affirming-hormone-therapy-in-michigan): State-specific service information.
- [Missouri](https://getplume.co/map/gender-affirming-hormone-therapy-in-missouri): State-specific service information.
- [Nebraska](https://getplume.co/map/gender-affirming-hormone-therapy-in-nebraska): State-specific service information.
- [Nevada](https://getplume.co/map/gender-affirming-hormone-therapy-in-nevada): State-specific service information.
- [New Jersey](https://getplume.co/map/gender-affirming-hormone-therapy-in-new-jersey): State-specific service information.
- [New Mexico](https://getplume.co/map/gender-affirming-hormone-therapy-in-new-mexico): State-specific service information.
- [New York](https://getplume.co/map/gender-affirming-hormone-therapy-in-new-york): State-specific service information.
- [North Carolina](https://getplume.co/map/gender-affirming-hormone-therapy-in-north-carolina): State-specific service information.
- [Ohio](https://getplume.co/map/gender-affirming-hormone-therapy-in-ohio): State-specific service information.
- [Oklahoma](https://getplume.co/map/gender-affirming-hormone-therapy-in-oklahoma): State-specific service information.
- [Oregon](https://getplume.co/map/gender-affirming-hormone-therapy-in-oregon): State-specific service information.
- [Pennsylvania](https://getplume.co/map/gender-affirming-hormone-therapy-in-pennsylvania): State-specific service information.
- [Tennessee](https://getplume.co/map/gender-affirming-hormone-therapy-in-tennessee): State-specific service information.
- [Texas](https://getplume.co/map/gender-affirming-hormone-therapy-in-texas): State-specific service information.
- [Vermont](https://getplume.co/map/gender-affirming-hormone-therapy-in-vermont): State-specific service information.
- [Virginia](https://getplume.co/map/gender-affirming-hormone-therapy-in-virginia): State-specific service information.
- [Washington](https://getplume.co/map/gender-affirming-hormone-therapy-in-washington): State-specific service information.
- [Washington DC](https://getplume.co/map/gender-affirming-hormone-therapy-in-washington-dc): District-specific service information.
- [Wisconsin](https://getplume.co/map/gender-affirming-hormone-therapy-in-wisconsin): State-specific service information.
- [Wyoming](https://getplume.co/map/gender-affirming-hormone-therapy-in-wyoming): State-specific service information.

## Availability for estrogen-based hormone therapy only

- [Alabama](https://getplume.co/map/gender-affirming-hormone-therapy-in-alabama): State-specific service information.
- [Alaska](https://getplume.co/map/gender-affirming-hormone-therapy-in-alaska): State-specific service information.
- [Arkansas](https://getplume.co/map/gender-affirming-hormone-therapy-in-arkansas): State-specific service information.
- [Connecticut](https://getplume.co/map/gender-affirming-hormone-therapy-in-connecticut): State-specific service information.
- [Delaware](https://getplume.co/map/gender-affirming-hormone-therapy-in-delaware): State-specific service information.
- [Indiana](https://getplume.co/map/gender-affirming-hormone-therapy-in-indiana): State-specific service information.
- [Louisiana](https://getplume.co/map/gender-affirming-hormone-therapy-in-louisiana): State-specific service information.
- [Minnesota](https://getplume.co/map/gender-affirming-hormone-therapy-in-minnesota): State-specific service information.
- [Montana](https://getplume.co/map/gender-affirming-hormone-therapy-in-montana): State-specific service information.
- [New Hampshire](https://getplume.co/map/gender-affirming-hormone-therapy-in-new-hampshire): State-specific service information.
- [North Dakota](https://getplume.co/map/gender-affirming-hormone-therapy-in-north-dakota): State-specific service information.
- [Rhode Island](https://getplume.co/map/gender-affirming-hormone-therapy-in-rhode-island): State-specific service information.
- [South Dakota](https://getplume.co/map/gender-affirming-hormone-therapy-in-south-dakota): State-specific service information.
- [Utah](https://getplume.co/map/gender-affirming-hormone-therapy-in-utah): State-specific service information.
- [West Virginia](https://getplume.co/map/gender-affirming-hormone-therapy-in-west-virginia): State-specific service information.

## Education and support

- [Plume blog](https://getplume.co/blog/): Educational articles and Plume news.
- [Support Center](https://support.getplume.co/support/home): Authoritative answers and customer support information.
- [Support solutions](https://support.getplume.co/support/solutions/): Browse support topics and frequently asked questions.

## Optional

- [Full Plume context](https://getplume.co/llms-full.txt): Self-contained public-information summary of Plume's services, eligibility, pricing, limitations, and state availability.
- [Community](https://getplume.co/community/): Community programs and resources.
- [Partnerships](https://getplume.co/partnerships/): Partnership information.
- [Press](https://getplume.co/press/): Press information and company announcements.
- [XML sitemap](https://getplume.co/sitemap.xml): Machine-readable index of site pages.