Welcome to a Better Way to Do HRT

About Our HRT Membership Program

Hormone Replacement Therapy (HRT) is a personalized medical protocol designed to restore and balance key hormones — such as estrogen, progesterone, and testosterone — using bioidentical compounds that mirror what the body naturally produces.

In women, this supports relief from perimenopause and menopause symptoms like hot flashes, mood changes, sleep issues, bone density loss, low libido, and more.

For men, it addresses low-testosterone issues such as fatigue, mood swings, reduced muscle mass, low libido, and metabolic challenges.

Who Our HRT Membership Is For

Whether you’re just beginning to notice changes in mood, energy, or sleep — or you’ve been struggling for years with symptoms that haven’t been taken seriously — this program is for you.

We care for women at every stage of hormonal transition, from early perimenopause to long past menopause, and men facing low-T and age-related shifts. Even if you’ve tried HRT before and felt like it didn’t work, we take a fresh, personalized approach that’s grounded in science and built around your goals.

Why Our Approach to HRT Stands Apart

Vital Living Healthcare provides tailored hormone optimization plans designed to meet the specific needs of both men and women, producing results that allow them to enjoy life regardless of age by improving energy and vitality.

How Our HRT Membership Program Works

We’ve designed our 12-month membership to take the guesswork out of HRT. Our all-inclusive program gives you the clinical support, lab access, and expert guidance you need to feel your best, all with clear, upfront pricing and no surprise costs.

HRT Membership Program Cost & Benefits

Our all-inclusive hormone therapy program is $2,200/year when paid annually. Prefer to spread it out? Pay quarterly at $550 per installment plus a $25 administrative fee. We believe in transparent pricing, so everything you’ll pay for is listed on this page.

HRT Membership Includes

  • Initial comprehensive HRT evaluation
  • Personalized treatment plan
  • Up to 12 follow-up visits annually
  • Up to 6 total HRT panels for women
  • Up to 4 total HRT panels for men
  • Pellet therapy, including booster dosing
  • Standard topical or injectable testosterone
  • Monthly B-12 injections
  • 3 InBody scans per membership year
  • HRT Club access and member discounts on aesthetics, supplements, IV therapy & more
  • Optional laboratory testing: Vitamin D -$85, Ferritin-$120, and Cortisol-$130. Cost for labs are due at the time of blood draw.

What Is Not Included

  • Commercially available prescription medications
  • Compounded estrogen, progesterone, troches, and other compounded medications unless specifically identified as included
  • Primary care, urgent care, emergency care, or services unrelated to HRT
  • Optional laboratory testing outside the included HRT panels

Ready to Feel Like Yourself Again?

Start Your HRT Journey Today

Take the first step toward better health with a complimentary consultation.

HRT Membership Program FAQs

Why is the program structured as a 12-month membership?

Hormone therapy requires monitoring and may require several treatment adjustments. A 12-month structure supports continuity, trend-based laboratory review, and ongoing access to your practitioner.

What’s the difference between pellet and non-pellet hormone therapy?

Pellets are inserted under the skin and release hormone over time. Non-pellet options may include injections, patches, creams, gels, or oral medications. Your practitioner will recommend a delivery method based on your medical history, laboratory results, symptoms, and preferences.

How many labs and follow-up visits are included in my HRT membership?

Women receive up to 6 total practitioner-directed HRT panels during the membership year. Men typically receive up to 4 total panels. This is based on your treatment plan, and clinical need.

The membership also includes up to 12 medically appropriate HRT follow-up visits. Most patients only need 3–4 follow-ups a year, but if adjustments are needed, like changing your treatment method or dosage, you’ll have easy access to your practitioner. This flexibility ensures we can monitor your progress and make any necessary changes at no extra cost to you.

Do I have to use compounded medications for my hormone replacement therapy at VLH?

No. Your practitioner may recommend commercially available or compounded medication depending on your needs. Except for included testosterone, medication costs remain your responsibility. HRT Club access may provide savings on certain eligible commercial prescriptions.

Can I pause or cancel my HRT membership?

Memberships cannot be paused. A six-month minimum commitment applies. After the minimum commitment, cancellation and any available refund are governed by the written cancellation policy and require 30 days’ written notice.

If my symptoms improve after a few months, do I still need a 12-month HRT membership?

Absolutely. Early improvements are common, but hormones must be continued or the benefits will not last. The full year allows us to refine and maintain your results through every stage of the journey, not just the beginning.

Will my insurance cover any part of my HRT membership?

The membership is self-pay and is not billed to insurance. HSA or FSA eligibility is determined by your plan administrator. We can provide an itemized receipt or statement upon request.

What is included in the expanded initial panel of my HRT membership?

The initial panel evaluates hormone and thyroid markers along with CBC, CMP, A1C, a lipid panel, hs-CRP, folate, B-12, and RBC magnesium. Women’s hormone testing includes FSH, estradiol, progesterone, and testosterone. Men’s testing includes LH, free and total testosterone, estradiol, and PSA.

How do I get started with Hormone Replacement Therapy (HRT)?

Your journey begins with a complimentary consultation where we’ll discuss your goals, symptoms, and how the program works. If you decide to move forward, we’ll schedule your initial lab panel and blood draw. Once your results are in, you’ll meet with your practitioner for a comprehensive review and personalized treatment plan, then begin your therapy with full support every step of the way.

How soon will I start to feel better after starting hormone replacement therapy?

Response varies. Some patients notice changes within several weeks, while others need more time or treatment adjustments. No specific result or timeline can be guaranteed.

Are there potential side effects from HRT or pellet therapy?

Yes. Side effects depend on the hormone, dose, and delivery method and may include acne, breast tenderness, mood changes, fluid retention, hair changes, bleeding changes, or other effects. More serious risks are also possible. Your practitioner will review material risks, benefits, alternatives, and required monitoring before treatment.

Are my HRT prescriptions mailed to my home or picked up at a local pharmacy?

Compounded medications are generally shipped by the dispensing pharmacy. Commercial prescriptions may be sent to the pharmacy of your choice or obtained through an eligible HRT Club option. Shipping and pickup arrangements depend on the medication and pharmacy.

Do I have to use a compounding pharmacy for my HRT membership?

Not at all. While some patients benefit from compounded medications, many do just as well with commercially available options. At this time, our HRT Club offers prescription savings exclusively on commercial medications, including testosterone, estrogen patches, and more. If compounded therapy is recommended, your provider will discuss options and pricing with you directly.

Are sexual wellness prescriptions included in the HRT membership?

Sexual wellness prescriptions such as sildenafil or tadalafil are not included, but eligible HRT Club savings may be available.

Does the HRT membership include nutrition, fitness, and sleep coaching?

Yes, our team provides guidance on key lifestyle factors like sleep, stress, movement, and nutrition to complement your hormone plan. While not included in the HRT membership, we offer optional add-ons such as peptide therapy, medical-grade supplements, and our medical weight loss program with GLP-1 medications to further support your health goals.

For those seeking a more comprehensive, all-in-one wellness experience, our Bespoke Concierge Primary Care Program includes access to hormone therapy, peptides, weight loss, yearly executive physical with comprehensive treatment plan, TRUAGE testing, after-hours availability for unexpected health questions, and ongoing personalized lifestyle support under one membership. We’ll help you choose the best path for your unique needs.

*Please note this membership type is limited to 300 persons yearly per practitioner.

Can I also use weight loss, peptide, IV, or aesthetic services as part of my HRT membership?

Yes, when medically or otherwise appropriately recommended. HRT members receive specified discounts on eligible services. These services are separate from the HRT membership and may involve additional charges.

Is the HRT membership transferable?

No. Membership benefits are specific to the enrolled patient and cannot be transferred to another person.

Will I be reminded when laboratory testing is due as part of my HRT membership?

Our team will send reminders when possible, but treatment is a partnership. Patients are responsible for maintaining current contact information, completing required testing, and scheduling recommended follow-ups.

Can I use HSA or FSA funds to pay for HRT Membership?

Yes! Most patients use their HSA or FSA to cover membership costs, lab work, and prescriptions. We’ll gladly provide itemized receipts or statements to support your reimbursement needs.

Can I add vitamin D, ferritin, or cortisol testing as part of my HRT membership?

Yes. Vitamin D, ferritin, and cortisol testing may be added at a modest additional cost when requested or recommended.

  • Vitamin D -$85, Ferritin-$120, and Cortisol-$130.
  • Cost for labs are due at the time of blood draw.

Is testosterone included for non-pellet patients as part of the HRT membership?

Yes. Standard topical or injectable testosterone is included when prescribed and ordered through VLH’s designated pharmacy. The formulation and dose are selected by your practitioner based on medical necessity.

Which medications are not included in my HRT membership?

Commercially available prescription medications and compounded medications other than included testosterone remain patient-paid. This may include compounded estrogen, progesterone, troches, and other customized formulations.

What member discounts are included with my HRT membership?

Additional HRT member benefits:

  • Flexible Payment Options
  • HRT Club Prescription Discounts
  • Discounted Peptide & Weight Loss Therapies
  • 10% Off All Aesthetic Services
  • 10% Off All Supplements
  • $50 Off Any IV Therapy Treatment
  • Save On Medical-Grade Skin Products

Discounts apply to eligible services and products and are available for as long as your membership is active. Ask our team if you have questions about what qualifies.

Are there any additional fees for paying quarterly for my HRT membership?

The annual payment option is $2,200, paid once, with no administrative fee. If you prefer quarterly payments, each installment is $550 plus a $25 administrative fee ($575 per quarter, or $2,300 for the year).