---
title: "Pay-As-You-Go & Insurance | The Gender Hormone Clinic"
description: "Pay-as-you-go is for patients paying through private medical insurance or already enrolled on it. Per-service pricing: £400 initial consult, £250 follow-up, £59 prescriptions and letters."
url: https://thegenderhormoneclinic.com/patient-resources/pay-as-you-go/
---

[← Payment plans](https://thegenderhormoneclinic.com/patient-resources/payment-plans/)

# Pay-as-you-go & insurance.

For patients claiming through private medical insurance, billed per service rather than on the monthly plan. All the same clinical care, invoiced individually.

## Pay-as-you-go isn’t offered as a general option

It’s available **only** if you’re paying through **private medical insurance**, or you’re **already enrolled on pay-as-you-go** with us. If neither applies to you, your care is billed on the [monthly payment plan](https://thegenderhormoneclinic.com/patient-resources/payment-plans/), which is simpler and almost always cheaper.

Who it’s for

## Insurance, or per-service billing.

Patients on a rolling monthly plan can’t claim per-service through insurers, so if you’re using private medical insurance, pay-as-you-go is the right path.

We also keep existing pay-as-you-go patients on it if that’s how they started with us. Otherwise, the monthly plan includes all your appointments, prescriptions and clinic letters for less.

Always check directly with your insurer what’s covered before booking. Medication is rarely included in cover.

Per-service pricing

## Each service, invoiced separately.

Initial consultation

In-clinic appointment with first prescription if cleared

£400

Follow-up appointment

6- or 12-month review with your clinician

£250

Earlier appointment (urgent)

Booked outside the standard review schedule

£225

Private prescription

Per item dispensed

£59

Travel / non-routine letter

Surgical clearance, clinic confirmation, etc.

£59

Phone or video call outside an appointment

Add £30 if a follow-up letter is needed

£59

Each pay-as-you-go service is invoiced after it’s delivered. Patients claiming via insurance must remain on pay-as-you-go, because the monthly plan can’t be invoiced per session for insurers.

How insurance works

## Pay upfront, then claim it back.

-   You pay us upfront (a £400 deposit or the full fee) via a secure payment link.
-   We send you an **itemised invoice** for each service.
-   You **claim reimbursement** from your insurer directly. Medication is rarely covered, so check your policy first.

Switching to the monthly plan

## Many people move across once they’re settled.

There’s a one-off **£175 switch fee** (a discounted follow-up plus your first plan payment), set up when you book a follow-up. The monthly plan and pay-as-you-go can’t be combined; you’re on one or the other.

[See the monthly payment plan](https://thegenderhormoneclinic.com/patient-resources/payment-plans/)

Common questions

## A few things to ask.

[Make an Enquiry](https://thegenderhormoneclinic.com/make-an-enquiry/) [See all FAQs](https://thegenderhormoneclinic.com/patient-resources/faq/)

## Want to talk numbers?

Send us an enquiry to discuss insurance cover, switching to pay-as-you-go, or putting a slot on hold while you check with your insurer.

[Make an Enquiry](https://thegenderhormoneclinic.com/make-an-enquiry/)