you have two basic options for hrt;
1) doctor’s prescription for ‘gender dysphoria’. you go to a licensed doctor or therapist (not a counselor or anyone without the right credentials to give prescriptions) and bring up hormone replacement therapy.
getting prescriptions are a gamble, not just in hrt, but in anything. some doctors will grill you with really unnecessary questions to ‘determine’ whether you ‘need’ it. some will take your word for it, and help you regardless of your intentions.
when my old doctor seemed a little off about giving me antidepressants, i just switched to another one that was much more respectful. that doctor was also the one who immediately agreed to sign a hrt prescription – the only reason why i didn’t take it was because i needed to move to chicago.
this method is specific for a prescription for gender dysphoria, but like many doctors, it depends on the person on whether they focus on dysphoria or not.
2) you can also pursue informed consent hrt. clinics that offer informed consent for hrt are dotted throughout the country, but they won’t be everywhere. i found one in chicago called the howard brown center, which is just like any clinic with doctors and so on. but the prescription won’t hinge on dysphoria, and instead you just pick up the bottle that very afternoon.
i cycled through three different doctors in the howard brown center, and none of them asked me about dysphoria (unless they were doing a pelvic exam, in which they ensured that they’d do their best to minimize potential discomfort).
as for costs – with my student insurance, it covers hrt, but im left with 60$ every five-seven months to pay for the rest. you’ll probably also pay for the needles and other accessories. without insurance, hrt can inflate to 200-500$.