At Be Well Berlin, we’re proud to provide respectful, affirming care for transgender, nonbinary, gender-diverse, and Two-Spirit individuals seeking hormone replacement therapy (HRT) and comprehensive gender-affirming support.
Whether you're starting HRT, maintaining your regimen, or simply exploring your options, you’ll find a provider who sees you as a whole person—not a diagnosis.
As a queer clinician with a trans brother, I’ve seen firsthand the struggles our community faces—barriers to care, the harm of being dismissed or delayed, and the devastating effects of being denied gender-affirming treatment. That’s why I’ve built my practice to be a safe, validating space where your identity is respected and your goals come first.
Serving patients across Alaska, including Anchorage, Fairbanks, Juneau, the Mat-Su Valley, Homer, Kenai, Kodiak, Bethel, Nome, Wasilla, Palmer, Sitka, and rural communities statewide via secure telehealth.
Initiation and continuation of hormone therapy (HRT) – test, estrogen, anti-androgens, progesterone
Informed consent model – no mandatory therapy letters or gatekeeping
Ongoing HRT monitoring & lab work
Affordable labs: If you don’t have insurance, we’ll help you access low-cost lab services.
Estrogen / Test Blockers: If cost is an issue, minimum appointment schedule is 3, 6, and 12 months after dose adjustments. Once stable on treatment, I prefer appointments every 6 months, however will work with people if they can only afford one appointment per year.
Test: Appointments and labs are required 3, 6, and 12 months after dose adjustments or starting treatment, or more frequently if there are lab abnormalities or complications. Once stable on treatment, as test is a controlled medication, minimum appointments would be once every 120 days.
Support for surgical readiness evaluations (when needed)
Mental health screening and medication support if desired
Referrals to affirming specialists and community resources
Care for nonbinary and gender-expansive individuals – including low-dose regimens and custom HRT plans
We take time to understand your goals and work with you to develop a care plan that fits your body and your identity.
CostofFeminizationTreatmentwithoutinsurance
It breaks my heart that so many people can’t access gender-affirming care and transgender HRT without insurance. One of my biggest goals in building Be Well Berlin is to make high-quality, judgment-free mental health and hormone care more affordable and accessible.
If the $100/month membership for monthly access to a board-certified healthcare provider is cost-prohibitive for you, you can still access care on a pay-per-visit basis:
Initial gender-affirming consult: $250
Follow-up appointments: $125–$175 (Pricing depends on visit length and medical complexity. Unfortunately, I cannot offer sliding scale rates due to contractual obligations with insurance companies.)
Estrogen Therapy
Required Labs (Baseline, 3, 6, and 12 months after starting or adjusting treatment. Once stable, labs are required annually.)
CBC, CMP, Estradiol, Total Testosterone: ~$100
If you prefer to skip Estradiol and Testosterone at baseline: ~$40
Medication Costs (via CostPlus Drugs)
Estrogens: , 60 tablets: ~$10/month
Androgen Blockers:, 60 tablets: ~$11/month
Estimated Total Cost (Uninsured & Well Tolerated Treatment) First Year of Care:
$1,217–$1,367 yearly
$101–$114/month
After Stable on Current Dose for 1 Year:
1–2 follow-up visits per year
Annual labs
Ongoing medication
$477–$702/year
$40–$59/month
Please note: Lab pricing and medication costs are approximate and may vary slightly depending on local rates or lab partner availability. This estimate assumes the patient is doing well clinically with stable, normal lab results. If additional evaluation is needed due to abnormal results or difficulty with treatment, this may lead to extra costs for further labs or follow-up visits.
CostofMasculinizationTreatmentwithoutinsurance
It breaks my heart that so many people can’t access gender-affirming care and transgender HRT without insurance. One of my biggest goals in building Be Well Berlin is to make high-quality, judgment-free mental health and hormone care more affordable and accessible.
If the $100/month membership for monthly access to a board-certified healthcare provider is cost-prohibitive for you, you can still access care on a pay-per-visit basis:
Initial gender-affirming consult: $250
Follow-up appointments: $125–$175 (Pricing depends on visit length and medical complexity. Unfortunately, I cannot offer sliding scale rates due to contractual obligations with insurance companies.)
Testosterone Therapy
Required Labs (Baseline, 3, 6, and 12 months after starting or adjusting treatment. Once stable, labs are required annually.)
CBC, CMP, Total Testosterone: ~$64
If you prefer to skip Total T at baseline: ~$40
Testosterone is a controlled medication, once stable on treatment for 12 months, minimum follow up schedule is every 120 days.
Medication Cost (Via GoodRx)
200 mg vial of Test ~$20-40
Estimated Total Cost (Uninsured & Well Tolerated Treatment)
First Year of Care:
$1,229–$1,619/year
$102–$135/month
After Stable on Current Dose for 1 Year:
Follow-up visits every 4 months (3/year)
Annual labs
Ongoing medication
$679–$1,069/year
$57–$89/month
Please note: Lab pricing and medication costs are approximate and may vary slightly depending on local rates or lab partner availability. This estimate assumes the patient is doing well clinically with stable, normal lab results. If additional evaluation is needed due to abnormal results or difficulty with treatment, this may lead to extra costs for further labs or follow-up visits.
As a queer clinician and member of the LGBTQIA+ community, I’ve been fighting for health equity since 2012—and I’ve been providing gender-affirming care since 2017. At every organization I’ve worked with, I’ve been a founding or integral part of LGBTQ+ health initiatives—helping write care guidelines, training other providers, and pushing systems toward equity.
My commitment to this care is deeply personal. Watching my brother navigate the healthcare system as a young trans person—at a time when affirming care was almost nonexistent—left a lasting impression. I saw the gaps, the harm, and the incredible need. That experience fuels my mission at Be Well Berlin: to make high-quality, respectful, gender-affirming care truly accessible.
What’s happening in this country right now is abhorrent—but I will continue to do everything in my power to protect trans, nonbinary, and Two-Spirit patients, and ensure that healthcare remains a space of dignity, safety, and autonomy.
Q: Do you offer gender-affirming hormone therapy (HRT) in Alaska? A: Yes! We are proud to offer gender-affirming HRT services via telehealth across Alaska — including Anchorage, Fairbanks, Juneau, Wasilla, Sitka, Ketchikan, Palmer, Bethel, and rural communities statewide. Our goal is to make high-quality, personalized hormone care accessible no matter where you live.
Q: Do you serve nonbinary and Two-Spirit patients? A: Absolutely. We specialize in affirming, individualized hormone therapy for nonbinary, gender-diverse, and Two-Spirit patients. Whether you’re exploring microdosing, low-dose HRT, or a nonbinary hormone plan, we work collaboratively to align care with your identity, needs, and goals.
Q: Is gender-affirming care covered by insurance in Alaska? A: Yes. We currently accept Alaska State Medicaid, with contracts pending for Moda Health, Cigna, & Aetna. For those without insurance, our $100/month membership includes regular monthly access to a healthcare professional - no insurance needed.
Q: Can I start HRT if I haven’t had therapy or a formal diagnosis?
A: Yes. We follow an informed consent model, meaning you don’t need a therapist’s letter to start hormone therapy. If you’re ready, we’re ready to support you—no gatekeeping, just personalized, affirming care.
Q: What kinds of hormones do you prescribe?
A: We offer a range of HRT options tailored to your needs, including:
EstrogenTreatment
Testosterone Blockade
Progesterone
Testosterone (injection, gel, cream)
Microdosing and nonbinary-friendly HRT plans
We’ll discuss the pros and cons of each route and help you decide what feels right for you.
Q: How quickly can I start gender-affirming HRT in Alaska? A: Most patients can begin hormone therapy within 7–14 days of their initial telehealth appointment. We prioritize fast, compassionate access to care — especially for patients in rural Alaska including Nome, Utqiaġvik (Barrow), Kodiak, Valdez, Bethel, and Dillingham. Whether you’re in Anchorage, Fairbanks, or a remote village, we make it easy to start HRT with minimal delays and full support.
A. Yes! We provide compassionate, trauma-informed mental health care, including CBT, motivational interviewing, and affirming medication management for depression, anxiety, trauma, and insomnia. Our goal is to offer whole-person care, especially for the LGBTQIA+ community.
Serving All of Alaska with Transgender HRT via Telehealth We provide transgender HRT and gender-affirming care across Alaska, including: Anchorage, Juneau, Fairbanks, Kenai, Ketchikan, Mat-Su Valley, Homer, Kodiak, Utqiaġvik (Barrow), Dillingham, Nome, Palmer, and rural tribal health regions. No matter where you live in Alaska, Be Well Berlin brings respectful care to your screen.
