Yes, anyone who is 18+ and permanently resides in a state that we service is eligible for treatment through our practice.

To see a list of states, please start booking an appointment. You will be able to select from a list of all of the states where we are currently practicing.

You must be currently residing in the state of treatment as well as have your primary pharmacy be in that same state in order to be a patient at our practice.

We recommend booking a video appointment to speak with one of our experienced clinicians to get your questions answered. All of our clinicians are primary care practitioners, which means that they are experienced in providing care beyond prescribing PrEP.

Your clinician will be able to discuss your treatment options with you and answer any questions you may have, about PrEP or about any other health topic you may want to discuss in a safe environment.

Your provider will be able to place a lab order to a lab near you to get bloodwork completed. Your results will be uploaded automatically to the app, where you can view and download them at any time.

Our providers are primary care providers (MD's, DO's, NP's, and PA's) who have experience in providing gender-affirming care and behavioral health care. They are allies and proud members of the LGBTQIA+ community. We encourage you to read more about each provider on their profiles above!

You do not need to book your appointment with a doctor. You can book your appointment with any provider that we have available. Our providers all work closely together to make sure that we are providing the same excellent standard of care to all patients regardless of which provider you book your appointment with. The type of provider you book with will not limit the type of treatment or medications that you are able to be prescribed.

The first intake appointment is 30 minutes. Follow-up appointments, if you have them, are 20 minutes each.

We accept most major PPO plans and we do not have any membership fees or ongoing membership requirements. The only cost that you have from our practice is the cost per appointment (see below for appointment cost estimates). During your appointment, you can discuss any health concerns you may have, whether related to PrEP or not.

Your other costs include the cost of the medication(s) at the pharmacy (we recommend using GoodRx coupons to lower this cost), and the cost of any lab work or hormone testing at the lab.

With Insurance
$5 - $50 average copay* 1st appointment
$5 - $50 average copay* 2nd appointment

$10 - $120* total, with $5 - $50* monthly follow-ups once stable.

*Note: Your specific copay is dependent on your health insurance coverage. We typically see patients with copays of around $0-$50 per appointment, but this can be higher if you have a high-deductible plan and have not yet hit your deductible this year. To confirm your specific copay estimate, you can click to book an appointment and you will be asked to input your insurance information so that you can receive your cost estimate before confirming the appointment.

Our ability to estimate your costs is dependent on your healthcare insurance's database, so we do not guarantee that the estimate you see is the exact amount you will be billed. For the most accurate estimate of your per-appointment costs, we recommend calling the phone number on the back of your insurance card to ask your insurance plan what your primary care appointment costs are.

Without Insurance (out of network or uninsured)
$120 per appointment

Your specific follow-up appointment timeline may vary depending on what your provider recommends.

We contract with most PPO insurance plans. If you are a California Bay Area resident, we also work with a small number of HMO plans.

To verify if we work with your insurance, simply start booking an appointment online. You will be prompted to enter your insurance details and will receive eligibility results instantly as well as an estimate of your appointment cost prior to confirming your appointment.

Some PPO plans that we currently work with are:

Anthem Blue Cross/Blue Shield, Aetna, Blue Shield of California, Cigna, Health Net, Humana, and United Healthcare.

Plans that we cannot work with are:

Unfortunately, we are unable to provide care for patients who have Medi-Cal or Medicaid insurance. This is because we are not licensed Medi-Cal or Medicaid providers, so we are not able to provide care, even if these patients choose to pay cash instead of use their insurance. If you have Medi-Cal or Medicaid, please do not book an appointment with us, as we will be unable to provide care even if you do not enter your insurance information. We apologize about this.

After booking your first appointment, download the app and make sure that you are able to sign in. Confirm your appointment start time in the app (all times are in your phone's local time). No other actions are needed.

You will receive an in-app chat message 1-2 minutes before your appointment start time with the link to join your video appointment.

After you are prescribed medications, we will coordinate sending these prescriptions to your preferred pharmacy. We may have a mail-order prescription delivery service available; please ask your provider about this.

We will contact you via the in-app chat regarding ongoing refills and follow-up appointments. Your specific follow-up appointment cadence will be determined by your provider.

If you have questions at any time, please feel free to chat with your provider and care team via our secure app.

For a detailed breakdown of what you need for your first appointment with Circle Medical, read the article below:

How to Prepare for Your First Appointment