Meet Silas
Silas' story
HRT Access Fund recipient
Silas (he/they) is a 23-year-old disabled trans/nonbinary person who has been on and off testosterone since 2022 due to financial difficulties. They have also faced homelessness since 2020. In March of 2024, they were able to secure a remote job and find an apartment. However, since they are unable to work full-time, they struggle to afford HRT, especially given that their state law prohibits Medicaid from covering gender-affirming services. Silas lives with their significant other, but money remains tight, forcing them to choose between affording testosterone or buying essential items like food.
Silas is passionate about art, including painting, digital art, and occasional sculpting. They offer digital design assistance to a local youth-led organization focused on creating societal change and ending youth houselessness. They also sometimes work for a local nonprofit that provides laptops to individuals and families in need when they can.
Silas is relieved that affording HRT will no longer be a constant concern, allowing them to focus on affording other essentials and improving their financial situation. They're hopeful that this support may give them the financial wiggle room to start saving for a car, even if it’s little by little.
Silas' timeline
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Award Granted
August 12, 2024
Silas was awarded a grant toward HRT/GaHT!
Grant details
$1,450 towards gender-affirming care.
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Help us support more people like Silas get the care they need and deserve.
About Testosterone+
On average, it costs $1,200+/year for Silas' 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.