Hone Health vs Fountain TRT: Which One Fits You (and What a Year Really Costs)

Hone Health vs Fountain TRT mostly comes down to your state and how you like to pay. Hone Premium's tests plus 12 memberships total $1,950 before medicine; Fountain starts at $199 every four weeks. Compare the full quotes, confirm state access, and resolve diagnosis or fertility questions before choosing.

By TRT Provider Guide · Last verified November 2026 (sources checked November 6, 2026) · Public-source comparison, not medically reviewed · How We Review TRT Providers

Last updated: November 6, 2026.

For U.S. adult men comparing testosterone-deficiency care.

Hone Health vs Fountain TRT at a glance

Hone publishes separate membership, testing and medication charges; Fountain publishes bundled plans billed in weeks. The starting figures below are not complete, like-for-like treatment quotes, so check the cost ledger and the missing charges before deciding.

Provider-stated details and our calculations: ^{1 2 3 4 6 7 8 13 25 26 28 30 32}. Review-platform snapshot: ^{38 39}. Hone still documents Plus, but its main enrollment pages emphasize Premium; confirm new-patient Plus access before relying on that budget.

That's the short answer. But there's one number that's easy to miss, and it matters most if Fountain's cheapest plan has caught your eye. We'll show you the math in the cost section.

• Consider Hone Health if you want monthly membership billing without a multi-month membership prepayment, you're comparing its listed injections, cream or troches, and the plan serves your state. Confirm your medication quote and whether you can enroll in Plus. ^{1 2 8}
• Consider Fountain TRT if you prefer a bundled program price or after-hours text support. Confirm your current state access, extra charges and payment interval before choosing a plan. ^{25 26}
• Choose neither yet if low testosterone hasn't been properly evaluated with symptoms or signs and repeat morning blood tests, or having a baby is in your near-term plans. More on both below. ^{48 51}

How we make money: TRT Provider Guide has affiliate relationships with Hone Health and Male Excel and may earn compensation from qualifying referrals. The clearly labeled Hone and Male Excel offer links are paid referrals. Research links in this article remain direct information links. Published prices below come from the companies' own pages, and the math is ours. Read our affiliate disclosure.

If the table already told you what you need, here's your next step:

Review Hone's membership and billing details →
You buy a test first. A Hone clinician reviews your results and decides whether treatment makes sense. Confirm your plan's membership activation and payment terms; buying a test does not guarantee treatment. ^{24 6 7}

See Hone’s current TRT offer → (paid referral).

Prefer a bundle? See Fountain's current TRT plans →

TRT Provider Guide is the independent decision resource for testosterone replacement therapy — helping U.S. adults understand how low testosterone is evaluated, compare online and local care models and providers, and choose the next step that fits their health needs, fertility plans, budget, state, and care preferences, with every material claim verified and dated.

The right TRT provider is not the same for every person — it depends on whether low testosterone has been properly evaluated, your symptoms and health history, your fertility plans, your state, your insurance or cash-pay preference, your treatment-format preference, your budget, and whether online or in-person care is the better starting point. Some situations belong with primary care, urology, endocrinology, reproductive urology, or urgent or emergency care when the symptoms warrant it. Because a general answer cannot resolve those for you, use TRT Provider Guide's Find My TRT Path tool to check age/state eligibility for the featured Male Excel TRT offer, not medical suitability, program comparisons or matched costs. A tool match does not replace the clinician or specialist care routes above. The tool is educational and non-diagnostic.

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Which should you choose, Hone Health or Fountain TRT?

Hone is worth comparing if you want monthly membership billing and its published testing and treatment choices. Fountain is worth comparing if you want bundled pricing and its stated text-support model, provided the current quote and state access fit. Men trying to conceive soon should see a fertility-focused urologist first. ^{1 2 25 26 48}

Find your row:

These are our editorial picks, built from the sourced facts and provider statements on this page. They're about fit and cost, not about which company gives better medical care. Neither company's medical outcomes can be measured from public documents.

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Hone Health vs Fountain TRT cost: which is cheaper over a year?

Hone's entry tests plus 12 membership payments total $1,710–$1,950 before medicine; its complete cost needs your medication quote. Fountain's Starter rate buys 52 weeks for $2,587 before extras, while Pro works out to $1,948.92 per 52 weeks but requires $3,598 in payments before week 52 if it renews unchanged. Those different billing periods and missing charges prevent a reliable cheapest-provider verdict. ^{1 2 25 27}

Why the "$155 vs $199" comparisons you've seen are wrong

Put Hone's membership fee next to Fountain's price without checking what's included, and the comparison breaks in two places.

1. Hone's fee doesn't include medication. Fountain's does. Hone bills your membership and your prescription separately. So Hone's $135 or $155 is only part of the bill.
2. Fountain doesn't bill monthly. Starter bills every 4 weeks. Thirteen payments cover 52 weeks—364 days—not 12 calendar months. At $199 a charge, that's $2,587, not $2,388. ²⁵

Fix both mistakes and the picture changes.

The cost ledger: Hone's monthly budget and Fountain's 52-week calendar

Here are the published charges and the assumptions behind each budget. Hone's table counts entry tests plus 12 monthly membership payments; Fountain's table counts 52 weeks, which is 364 days. Those periods are not identical, and neither table is a complete quote until the missing charges are filled in.

Hone: costs you can calculate before medication

Sources: Hone's plan-specific prices. ^{1 2} These are 12 membership payments after activation, not a promise of 12 treatment months from the day you buy a test. Plus enrollment for a new patient needs confirmation.

Hone's specific plan pages list these confirmation fees, although its general retesting FAQ says clinically necessary retests have no extra charge. We used the plan-specific prices for this budget; confirm which fee applies to your order. ¹⁹

What a medication quote would add

Hone's product page advertises injections from $28/month, but its plan pages say from $28 per vial and note that the final price varies. One vial is not automatically one month. The figures below are conditional arithmetic examples, not verified all-in treatment prices. ^{1 2 3}

Fountain: the published rate and when money leaves your account

This model assumes the first invoice is at week 0, the same plan renews at the same price, and we count payments before week 52. Any evaluation fee, extra lab charge, upgrade or add-on must be added.

Sources: current plan prices and renewal terms. ^{25 27} The rate column is a comparison calculation, not an invoice or a promised refund. Prepaid care beyond week 52 is future service, not a penalty or money lost.

One calendar detail: a 365-day cash window is longer than 52 weeks. It includes another Starter payment on day 364, taking cash paid to $2,786, with 27 days of future care prepaid. That does not change the $2,587 price of 52 weeks of Starter.

Shipping is not added to these published-price models: Hone says shipping is free, and Fountain says its program fee includes shipping. Fountain's public plan page does not show the evaluation charge, and its guarantee applies to the specific evaluation purchase where offered; confirm the amount and terms. ^{20 25 28}

Here's the number almost everyone misses

Fountain's 48-week Pro plan has the lowest published per-week rate of its three plans. Spread out, $1,799 for 48 weeks is about $150 every 4 weeks.

But 48 weeks isn't a year. If you stay on Pro, your second $1,799 charge lands at week 48, so you've paid $3,598 within your first 52 weeks. You haven't been overcharged: that second payment buys weeks 48 through 96. But it's a lot of cash out the door, and it's the opposite of what "cheapest plan" makes you expect. The 12-week Standard plan works the same way: its fifth $499 charge lands at week 48.

So the honest way to read Fountain's prepay plans:

• The rate is lower. Pro has Fountain's lowest published rate per week.
• The cash isn't. You need $1,799 on day one and another $1,799 at week 48.
• The refund terms matter more than usual. See the cancellation section before you prepay.

What makes Hone's bill go up

Hone's "$28" is a starting price. Three things can raise it:

• Your dose. If your clinician raises your dose, you may use more medication each month. Hone's product page prices injections per month, but its plan pages price them per vial. Ask Hone how long one vial lasts at your dose.
• Add-ons. Hone lists anastrozole (a drug that reduces estrogen production) at $22 a month. Tadalafil is also on its menu. Each one adds to your bill if prescribed. ^{1 2 54}
• Your plan. Premium costs $20 a month more than Plus, in exchange for bigger blood panels.

Fountain bundles medication into its program price, but add-ons can cost extra. Its September 2021 article says the membership fee does not change with testosterone dose or cream versus injections; confirm that promise in your current quote. Its March 2025 add-on announcement separately priced enclomiphene at $149 for 12 weeks, so don't assume every prescription is included. That's the real tradeoff between these two companies, and it leads to the one thing Hone does worse. ^{25 33 34}

The tradeoff with Hone: two bills instead of one

Hone does not bundle your medication into one flat fee. You get a membership charge and a separate medication charge, and the medication part can grow with your dose. If a bundled program price at a set billing interval is your top priority, Fountain is worth comparing—after you confirm the extras.

Hone's monthly membership can be canceled without committing to a multi-month membership term, but entry tests and prescription orders still have their own charges. If your written medication quote makes its total lower for the same care period, that is a useful reason to choose it. The advertised $28 starting price alone does not prove a $300–$540 saving. ^{4 5}

Does that tradeoff work for you? Review Hone's membership and medication billing →

Want to look closer at the bundle? Our Fountain TRT cost breakdown explains its billing structure.

What you pay before you know if you qualify

This is where people get nervous, and fairly so.

• Hone: You pay $45 for the Plus home test, or $65 for the Premium lab panel, before a clinician sees you. If you move toward TRT, a confirmation test costs $45 at a lab or $80 at home on Plus, or $25 on Premium. Hone's payment agreements say the initial membership fee is refunded if its physician decides treatment isn't right for you: $135 for the men's HRT plan or $155 for Premium. That refund covers the membership fee, not automatically the tests. ^{6 7}
• Fountain: It advertises an evaluation money-back guarantee if a medical provider finds you aren't eligible. The public page does not show the evaluation price, and the return policy limits the guarantee to the specific evaluation purchase where offered. Confirm the charge and conditions before paying. ^{25 28}

Either way, paying doesn't mean you'll get a prescription. A clinician makes that call.

What these totals don't include

To keep this honest, here's what's left out:

• Fountain's evaluation fee (not on its public plan page)
• Any extra blood test Fountain can't include in your state (more on that in the lab section)
• Hone's medication beyond the listed starting price
• Add-on prescriptions at either company
• Sharps containers or other supplies not included in your written quote
• Price changes at renewal. Check the price and notice terms before renewing. ^{4 27}

If someone shows you a "complete" yearly price for either company without these caveats, they've guessed.

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Is Hone Health or Fountain TRT available in my state?

Hone publishes state availability by men's membership tier. Fountain's older website lists 20 states, but its current plan page does not establish a complete current coverage list. Confirm your state, clinician and treatment before paying. ^{8 25 30}

For a lot of readers, state access comes before price. This table separates Hone's current published chart from Fountain's older list.

Sources checked November 6, 2026: Hone's 2026 service-availability chart and Fountain's older website. Hone lists 35 states for Plus and 34 for men's Premium. Fountain's older page also uses monthly pricing that differs from its current four-week plans, so its list is not a verified current coverage map.

Two cautions:

• A state list isn't a promise. Even in a listed state, the company has to match you with a clinician licensed there and a pharmacy that ships there. Confirm during sign-up, before you pay for a long plan.
• Fountain's list sits on its older TRT website's FAQ. Its current plan page doesn't repeat it. Ask Fountain about your state before paying.

If your state is on the wrong side of the table

• Another option to compare in New Jersey or Pennsylvania: Male Excel lists both states as served. Its published starting prices are a $99 consultation, a $99 monthly membership, and an injection package from $120 a month, supplied and billed every other month. The package also lists a thyroid medicine, so ask what is clinically appropriate and included in your quote. The calculation $99 + 12 × ($99 + $120) is $2,727 before shipping, taxes, applicable tests, price changes or other additions; it is a starting-price budget, not a complete annual cash bill. Male Excel says its testosterone is compounded. ^{40 41}
• Connecticut and Fountain isn't for you? Male Excel's current FAQ also lists Connecticut as unavailable. A local urologist or your primary care doctor is the next step. ⁴¹
• Neither company can serve you? Compare a local clinician through our online-versus-local care guide. Find My TRT Path checks age/state eligibility for the featured Male Excel TRT offer only; confirm provider access directly.

See Male Excel’s current TRT offer → (paid referral).

Fountain confirms your state and the bundle appeals to you? See Fountain's current TRT plans →
Hone lists a plan in your state? Check Hone's plan-specific state chart →

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What treatment can you get at each — and is it FDA-approved?

Both companies list testosterone injections and cream, plus the separate medication enclomiphene; Hone also lists troches and clomiphene. Hone states in writing that its advertised injectable testosterone is compounded and not FDA-approved. Fountain's current TRT plan page does not identify whether its testosterone is compounded or FDA-approved, so ask for the exact product. ^{1 2 3 25}

First, one plain definition. A compounded drug is specially prepared to meet a patient's needs. It isn't reviewed by the FDA for safety, effectiveness or quality the way an approved drug is. There can be a medical reason to use a compound, but it is not the same as an FDA-approved generic. It does mean you should know which one you're getting. ⁴⁶

Menu and price sources: ^{1 2 3 13 25 32 33 35}. Regulatory sources: ^{46 47 52 53 54 55 56}. Approval of a commercial version does not establish the status of the product either provider would dispense.

A few details worth getting right:

• Fountain isn't cream-only. Its current plan page lists cypionate injections and cream, along with the separate medication enclomiphene. Confirm which option and any add-ons the quoted price covers. ²⁵
• Hone's published men's medication list doesn't include hCG. Fountain's current TRT plan menu also omits it, but Fountain publishes hCG patient information dated March 2025. Ask about current availability and price; that older information is not a current treatment offer or a fertility guarantee. ^{13 32}
• Hone's "compounded" label is a point in its favor for transparency. It tells you the advertised preparation's approval status, not every ingredient or which pharmacy would fill your prescription. Fountain's current TRT plan page leaves that status unclear. This is a disclosure difference, not proof of safer or better treatment. ^{3 25}

Cream or injections?

Fountain's older article says cream and injections share its membership price, but get that confirmed for your current plan. Hone lists cream at an estimated $60/month, while its injection plan price starts at $28/vial. You can't subtract those figures to establish a $32 monthly difference without knowing the actual medication quote. ^{1 2 34}

There's also a skin-contact question with topical treatment. The AndroGel label carries a boxed warning about accidental testosterone exposure in children and also warns about transfer to others. Ask your clinician how that applies to a compounded cream and what precautions to take. ⁵³

Enclomiphene and clomiphene aren't TRT

These pills can stimulate your body to make more of its own testosterone. They don't replace it. They're not "natural TRT," they're not risk-free, and neither is FDA-approved for treating low testosterone in men. If one is offered to you, it's a separate medical decision. ^{47 51 52}

Ask this before you pay, at either company

"Is the testosterone I'd get an FDA-approved product or compounded? Which pharmacy fills it?"

Fountain's consent says you can choose your pharmacy. Hone's help center has a page on using your own pharmacy, and it notes that your membership keeps billing if you do. A local pharmacy won't necessarily stock the exact product you were prescribed, and it may cost more. Neither policy confirms your insurance coverage or identifies your actual dispensing pharmacy. ^{15 22 29}

Need a specific FDA-approved product? Confirm the exact product and dispensing pharmacy in writing. Need insurance to pay for care? Start with your primary care doctor or a urologist who bills your plan, then check the laboratory and pharmacy benefits. A cash-pay program's pharmacy-choice policy is not a promise of coverage. ^{14 15 22 29}

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Can you cancel Hone Health or Fountain TRT — and get money back?

Hone Health bills membership monthly, but membership and medication orders have to be canceled separately; processed or shipped medicine orders are not refundable. Fountain's current return policy allows refunds for unused prepaid future treatment, but not shipped medication or care already supplied. Its older terms say payments aren't refundable, so get the terms in writing before you prepay. ^{5 28 31}

This is where the fine print matters most.

Policy sources: ^{5 6 7 27 28 31}. Hone says the membership cancellation takes effect when you submit the form, even if processing takes 1–2 business days; it refunds a membership charge made after submission. Save the confirmation and check medication orders separately. This is about ending billing, not advice to stop treatment without your clinician.

Fountain's paperwork doesn't agree with itself

Fountain runs two websites: fountaintrt.com, its original TRT site, and fountain.net, its newer main site. Each has its own legal documents.

• The return policy on fountain.net says that if you cancel a multi-month plan, Fountain can refund unused prepaid future treatment. Shipped medication and care already supplied are excluded. ²⁸
• The terms on fountaintrt.com say the cost of services and medication is final and not refundable, even if you don't use them. They also say the lab may bill you directly. ³¹

We can't tell from public documents which one governs your sign-up. The fountain.net refund policy permits a refund that the older terms do not. Before you put $499 or $1,799 down, ask Fountain in writing:

1. Which refund policy applies to my plan?
2. How would a refund be calculated if I cancel in month three?
3. Is my medication shipped all at once, or in batches? (Shipped medication isn't refundable, so this changes your real refund.)

The December 31, 2026 date to know before you prepay

Testosterone is a Schedule III controlled substance and requires a valid prescription. Under the current DEA/HHS extension, a DEA-registered clinician may prescribe qualifying controlled medicines by telemedicine without a prior in-person evaluation if the rule's conditions and other federal and state requirements are met. The extension runs through December 31, 2026; it does not guarantee online prescribing for every person or settle which rules will apply afterward. ^{42 43 60}

That matters when you've prepaid. Here is an example using November 6, 2026 as the date a membership starts, not the day you buy a test:

Calendar calculations assume billing starts on that date and follows the stated interval. Hone's separate medication orders and any evaluation charges are not modeled. The dates show a payment commitment, not a prediction that care must stop or that everyone will need an office visit in January.

This isn't a reason to avoid either company. It's a reason to ask what happens to your care and unused prepaid time if the rules change. Fountain's refund policy may provide a partial refund, but the applicable terms, shipped medication and care already supplied matter. Check the current federal guidance and get each provider's continuity plan in writing.

Prefer a shorter billing period? Compare Hone's monthly membership details with Fountain's four-week Starter plan.

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How do labs, doctor visits and monitoring compare?

Both companies describe blood work and a live video evaluation. Hone publishes a confirmation test before TRT and follow-up labs at 3, 6, 9 and 12 months in the first year. Fountain describes Labcorp testing and included required monitoring, with a state-law exception, but its exact current confirmation and follow-up schedule needs a written answer. ^{1 2 10 11 25 26}

How low testosterone is actually diagnosed

Before comparing labs, here's the diagnostic standard in the Endocrine Society's guideline and July 2026 statement:

• You need symptoms or signs of low testosterone, and
• Consistently low testosterone on repeat early-morning, fasting blood tests, using accurate lab methods. ^{48 49}

The Endocrine Society's July 2026 statement describes a common clinical threshold near 300 ng/dL; it is not a stand-alone diagnosis or a universal rule for every lab method. Total testosterone is all the testosterone in your blood. But one number on one morning isn't a diagnosis. That's why a confirmation test exists, and it's a good sign when a company requires one. A clinician also needs to assess the cause and your health history. ^{48 49}

Hone recommends morning testing and fasting. Ask Fountain what timing, test method and repeat-testing steps it requires. Our TRT blood-test guide explains the questions to bring. ²³

Side by side

These are provider-stated processes, not visits we tested. Sources: ^{1 2 10 11 12 16 25 26 30}. Hone's included panels differ by plan and checkpoint; a clinician may change the schedule. More markers alone do not establish better care.

Three terms worth knowing:

• Hematocrit is the share of your blood made up of red blood cells. Testosterone can push it up, and high levels can thicken your blood. It's one of the most important things to monitor on TRT. ^{48 53}
• PSA (prostate-specific antigen) is a protein made by the prostate. Whether and when to check it depends on your age, risk and the monitoring plan you agree with your clinician. ⁴⁸
• Blood pressure matters too. In 2025 the FDA required warnings about increased blood pressure on testosterone labels. ⁴⁴

Ask either company how often each of these will be checked in your first year, and who looks at the results.

Who will you actually see?

Fountain identifies co-founder Dr. Doron Stember as a urologist; Florida's license lookup shows medical license ME147501 as Clear/Active, with data dated November 5, 2026. That checks one physician in one state, not every clinician or prescribing authorization. Hone's care comes from independent physician practices affiliated with Hone. In both cases, the founder or medical director isn't necessarily the person on your video call. Ask for your clinician's name and credentials, and confirm they're licensed in your state. ^{6 7 30 37}

What happens when it's time for a refill?

Hone says refills follow your prescription schedule and depend on required labs and consultations. Its help center lists 3–5 business days for pharmacy processing, before delivery. That is not a promise of a refill arriving within 3–5 days of your request. ^{20 21}

Fountain advertises medication shipping and ongoing monitoring, but we did not confirm its exact refill cutoff or a complete current monitoring calendar. Ask when labs and visits must be finished to avoid a gap, and how to reach the prescriber if a refill is delayed. ^{25 26}

Want the broader blood panel from the start? Review Hone's Premium lab panel →

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Which has better reviews and support?

Hone's Trustpilot profile showed 4.8 from about 12,500 reviews, and Fountain's showed 4.4 from 396, when checked on November 6, 2026. Their review-collection histories differ, and both profiles include services beyond men's TRT, so the star gap is not a clinical comparison. The examples below describe individual experiences, not measured response times or typical results. ^{38 39}

Star scores tell you less than you'd think. Here's how to read these two:

Trustpilot snapshot, November 6, 2026. These are individual experiences, not verified facts about either company's policies or medical results. The counts change; we did not measure how often each problem occurs. Some Hone complaints were disputed in company replies, so they remain reports, not established events. ^{38 39}

Two real reviews, in reviewers' own words:

"He explained everything in detail and welcomed my questions." — Hone Health reviewer "JP," Trustpilot, October 2026

"It's a little more expensive but worth every penny." — Fountain reviewer Jorge M., Trustpilot, posted August 19, 2026 (experience dated March 19, 2026)

Individual experiences. Not typical results, and not evidence of medical safety or effectiveness.

Support: Fountain advertises 24/7 concierge text support. That's support staff, not a doctor on call. Hone's support runs through a messaging portal, and some first replies are automated before the care team follows up. Hone also advertises 24/7 care-team availability, but its portal isn't live chat. If after-hours text access matters most to you, Fountain's stated model is worth comparing; we did not test which company gets you a human answer faster. Ask how and when you can reach the prescribing clinician. ^{4 17 26 29}

Our take: don't choose based on the star gap. Choose based on the complaint you'd find hardest to live with.

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What if you're trying to have kids, or have a health condition?

Testosterone therapy can lower sperm production, sometimes sharply. If having children is in your near-term plans, see a urologist who treats male fertility before choosing a testosterone program. Whether a provider lists hCG or enclomiphene does not settle that decision or guarantee preserved fertility. ^{48 50 51}

This is the one section where we won't point you to either company.

Testosterone from outside your body tells your brain to slow down your own production, and that can drop your sperm count. How much, and whether it recovers after stopping, varies from man to man. Nobody can promise you either outcome. ^{50 51}

Both companies offer enclomiphene, which works differently, but it isn't FDA-approved for this use and it isn't a fertility guarantee. If kids are in your near-term plans, a reproductive urologist should be your first appointment. Our TRT and fertility guide explains the questions to raise. ^{47 48 51}

Who should hold off on both

Arrange a clinician-led evaluation before choosing a program if any of these apply; the clinician can decide whether in-person care is needed:

• Your low testosterone hasn't been properly evaluated with symptoms or signs and repeat morning blood tests → primary care
• You're trying to conceive → urologist who treats male fertility
• You have a history of prostate or breast cancer → urologist or oncologist. In June 2026 the FDA requested changes to prostate-cancer safety language on testosterone labels. That announcement describes requested changes, not the current label of every product, and it doesn't replace a specialist's judgment. ⁴⁵
• Your hematocrit is already high, or you have untreated severe sleep apnea → primary care or a specialist
• You've had a recent heart attack or stroke → your cardiologist
• You have pituitary or testicular problems, or very unusual lab results → endocrinologist or urologist

These care-route suggestions follow the conditions discussed in the Endocrine Society guideline. ⁴⁸

Chest pain, sudden weakness on one side, trouble speaking, or a swollen leg with shortness of breath means emergency care right now. Call 911 in the U.S.; don't wait for a telehealth message. ^{57 58 59}

Not sure where you fit? Use the clinician routes above for diagnosis, fertility or complex health questions. Find My TRT Path checks age/state eligibility for the featured Male Excel TRT offer only, not medical suitability or care routes.

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What we actually verified

We read both companies' pricing pages, plan and help-center articles, state information, refund policies and legal terms on November 6, 2026, then recalculated the budgets with their assumptions shown. We didn't sign up, get treated or test support. Where a detail could not be confirmed from the public sources, we say so.

Verification date: November 6, 2026

Sources checked: Hone Health's men's TRT and testosterone pages, Plus, Premium and Basic membership articles, payment agreements, billing, cancellation, lab schedules, visit lengths, pharmacy, refill, shipping and state-availability articles, and Trustpilot profile. Fountain's current TRT plans, homepage, terms and return policy; older homepage, FAQ and terms; public medication information; telehealth consent; Trustpilot profile; and Florida's medical-license record. Male Excel's pricing page and current state FAQ. DEA/HHS telemedicine rules, FDA drug and labeling information, Endocrine Society guidance, and AUA/ASRM fertility guidance.

Confirmed from company documents: listed plan and test prices; billing intervals; treatment menus; Hone's compounded-product statement; Hone's men's state chart; both companies' published refund and cancellation wording; Fountain's conflicting terms. The budget calculations are ours, including the conditional medication examples.

Company statements we couldn't independently test: support availability, visit lengths, monitoring processes, medication fulfillment, and whether a particular refund is granted in practice. Published terms are not a test of the patient experience.

Couldn't confirm: Fountain's current complete state list, evaluation fee amount, exact confirmation-testing and refill schedule, testosterone preparation and approval status, or patient-specific pharmacy; the pharmacy that would fill an individual Hone prescription; whether every new patient can join Hone Plus; the applicable confirmation charge where Hone's documents conflict; how long a vial of Hone's injectable would last for a given patient; and each reader's exact quote and refund calculation.

What we didn't do: create provider accounts, buy plans, receive treatment, time support responses, or cancel a membership. This is a comparison built from public documents, not a hands-on review.

The review excerpts are customer-experience signals. Our fit recommendations are editorial conclusions drawn from the evidence and its limits, not proof of better treatment outcomes.

How we compared them

We used our published method, How We Review TRT Providers. It keeps four kinds of information apart: verified facts, statements made by the provider, customer-experience signals, and our editorial conclusions. It also checks all cost components instead of repeating teaser prices; when a required charge is unknown, we leave the total open. This comparison doesn't give providers our own star ratings or numeric scores, and being included on this page isn't an endorsement.

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What should you ask before you pay?

Ask both companies the same questions, in writing: your exact plan and every charge, the exact medication and pharmacy, which tests are included, who your clinician is, and how refunds work. If a question goes unanswered, treat it as an open cost rather than assuming it's free.

Copy these, send them to whichever company you're leaning toward, and keep the replies.

1. Which plan can I join as a new patient in my state, and what's my first charge?
2. What will I pay before my first prescription, and at every renewal after that?
3. Is my bill monthly, every 4 weeks, every 12 weeks, or every 48 weeks? When is the next charge?
4. Which first and confirmation tests are required, and what does each cost?
5. Which follow-up tests are included? Are any excluded in my state?
6. Is the testosterone FDA-approved or compounded? Which pharmacy fills it?
7. How much medication does my price cover, and how long does it last at my dose?
8. Who is my clinician, and how do I reach them between visits?
9. How will my fertility plans affect what you'd recommend?
10. How do I cancel, and how is a refund calculated? Which document governs that?
11. If federal telemedicine rules change, what happens to my care and any prepaid weeks?
12. When must labs and visits be completed before a refill, and who helps if a shipment is delayed?
13. Can I use recent outside results or my own pharmacy, and does that change any charges?
14. How do I get my medical records, what do they cost, and what can I still access after cancellation?
15. Which supplies are included, and are there any separate shipping, collection or laboratory charges?

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Frequently asked questions

The main differences are the bill, the testing plan and the terms that apply to your prescription. These answers separate what the published documents show from what needs a personal quote or a clinician's decision.

Is Hone Health cheaper than Fountain TRT?

Not enough is known to make that promise. Hone's entry tests plus 12 memberships total $1,710–$1,950 before medicine; the $2,046–$2,286 injection examples require a confirmed $28 monthly medication quote. Fountain's Pro rate is $1,948.92 per 52 weeks before extras, but it takes $1,799 up front and again at week 48. Compare your complete quotes and payment dates. ^{1 2 3 25 27}

Does Fountain TRT include medication?

Yes. Fountain's plan price covers medication, shipping, concierge support and provider visits. Its homepage says required lab monitoring is also included, except where state law prohibits it. Its older terms say the lab may bill you directly, so confirm this for your state. Extra prescriptions or services are not automatically included. ^{25 26 31 33}

Does Hone Health charge for medication separately?

Yes. Hone bills its membership ($135 for Plus, $155 for Premium) and your medication separately. Its product page advertises injections from $28/month, but the plan pages use $28/vial; cream and troches are estimated at $60/month. Ask what your actual prescription costs and how much medicine it covers. ^{1 2 3 4}

Does Fountain TRT offer injections or only cream?

Both. Fountain's current plan page lists testosterone cypionate injections and testosterone cream. It also lists enclomiphene, which is a separate medication, not TRT; confirm the price of the option and any add-ons you're offered. ²⁵

Do Hone Health or Fountain TRT offer hCG?

Hone's published men's medication list does not include hCG. Fountain's current TRT plan menu also omits it, but its official site publishes hCG patient information dated March 2025; current access and price need confirmation. If fertility matters to you, talk to a urologist who treats male fertility before choosing testosterone treatment anywhere. ^{13 25 32 51}

Is Hone Health or Fountain TRT available in my state?

Hone lists Plus in 35 states and men's Premium in 34. New York is Premium-only; Hawaii and South Dakota are Plus-only between those two men's tiers, and neither tier is listed in Alabama, Connecticut, New Jersey or Pennsylvania. Fountain's older list includes those latter states, but a complete current list wasn't confirmed. Use the state table, then confirm current access directly. ^{8 25 30}

Do Hone Health or Fountain TRT take insurance?

Their advertised programs are cash-pay. Hone says it doesn't do prior authorizations and can process HSA/FSA cards, subject to your administrator's rules. Fountain's terms say it doesn't bill insurers, including Medicare or Medicaid, but can provide a bill on request. That bill does not guarantee reimbursement. If you need insurance to pay, start with an in-network doctor and check laboratory and pharmacy coverage separately. ^{14 25 31}

Is Hone's Basic membership enough for TRT?

No. Hone's Basic membership doesn't include hormone therapy. This comparison uses the published men's Plus and Premium plans; confirm which one you can join. ^{9 1 2}

Can I switch from Fountain to Hone, or the other way around?

You can ask to transfer, but acceptance and treatment depend on the receiving clinician. Expect a new intake and clinician review, plus any tests they require; Hone may accept qualifying outside results from the past 90 days, although it still requires the starting purchase. Request your records before you cancel. Hone has an export option for your visit history, and Fountain's consent form describes how to request records, with possible preparation or delivery costs. Ask what remains accessible after cancellation and arrange the medical transition with your clinician. ^{16 18 29}

Are Hone Health and Fountain TRT legit?

Both have active public program sites and published medical-practice policies. That doesn't verify every assigned clinician, pharmacy or state authorization, and we did not independently confirm current LegitScript certification for both domains. Ask for the clinician's name, state license and dispensing pharmacy; a website badge or review score does not tell you which gives better care for you. ^{6 7 25 29}

Does either company guarantee a prescription?

No. Paying for a test or evaluation doesn't guarantee treatment. A licensed clinician decides based on your symptoms, repeat lab results and health history. ^{1 2 29 48}

What happens to online TRT after December 31, 2026?

The published DEA/HHS extension runs through December 31, 2026 and allows qualifying telemedicine prescribing without a prior in-person evaluation under stated conditions. It does not establish the rules for every patient after that date. Check the current federal guidance and ask the provider how changes would affect your care and unused prepaid time. ^{42 60}

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The bottom line

Compare Hone if monthly membership billing and its published testing and treatment choices fit you; its weak spot is the two-part bill, whose medication charge needs a personal quote. Compare Fountain if you prefer bundled pricing and its stated text-support model, after confirming your state and every extra charge. If you're tempted by Fountain's 48-week plan, get the renewal dates and refund terms in writing first.

Hone's billing structure fits you? Review Hone's membership and billing details →
Prefer a bundle? See Fountain's current TRT plans →

Want more detail on one company? Read our Hone Health provider profile, Hone's cost structure, our Fountain TRT provider profile, or Fountain's billing and refund details.

Check age/state eligibility for the featured Male Excel TRT offer with our free Find My TRT Path tool. For diagnosis, fertility or complex health questions, start with the clinician routes above.

This page is educational information, not medical advice. A licensed clinician decides whether treatment is right for you. For signs of a medical emergency, call 911 in the U.S.

Read our editorial standards, privacy policy, or corrections policy.

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Sources

Provider pages establish what each company publishes, while medical and regulatory sources support the health and prescribing statements. Prices, policies and review counts were checked on November 6, 2026; older material is identified where it affects the comparison.

Hone Health

• 1. Hone Plus membership and prices
• 2. Hone Premium membership and prices
• 3. Hone testosterone cypionate: price and compounded-product statement
• 4. Hone membership and medication billing
• 5. Hone cancellation and refund policy
• 6. Hone men's HRT membership payment agreement
• 7. Hone men's Premium membership payment agreement
• 8. Hone service availability by state
• 9. Hone Basic membership
• 10. Hone Plus TRT lab schedule
• 11. Hone Premium men's lab schedule
• 12. Hone appointment lengths
• 13. Hone medications available for men
• 14. Hone insurance and HSA/FSA policy
• 15. Hone: using your own pharmacy
• 16. Hone: bringing outside lab results
• 17. Hone support channels
• 18. Hone consultation-history export
• 19. Hone general retesting and confirmation FAQ
• 20. Hone pharmacy processing and shipping
• 21. Hone automatic refills
• 22. Hone: specific brands and manufacturers
• 23. Hone fasting and blood-test timing instructions
• 24. Hone men's patient journey

Fountain TRT

• 25. Fountain current TRT plans and evaluation
• 26. Fountain membership inclusions
• 27. Fountain current-domain terms
• 28. Fountain return and refund policy
• 29. Fountain telehealth consent, pharmacy choice and records
• 30. Fountain older homepage and state FAQ
• 31. Fountain older consent and terms
• 32. Fountain public patient-information index, including hCG
• 33. Fountain add-on announcement, March 2025
• 34. Fountain cream/injection pricing statement, September 2021
• 35. Fountain compounded enclomiphene program
• 37. Florida DOH: Doron S. Stember, ME147501

Customer-experience sources

• 38. Hone Health Trustpilot profile and reviews
• 39. Fountain Trustpilot profile and reviews

Male Excel

• 40. Male Excel pricing
• 41. Male Excel state-availability FAQ

Medical and regulatory sources

• 42. DEA/HHS fourth temporary telemedicine extension
• 43. DEA controlled-substance schedules
• 44. FDA testosterone labeling changes, February 2025
• 45. HHS/FDA requested testosterone label updates, June 2026
• 46. FDA compounding questions and answers
• 47. FDA enclomiphene assessment, June 2022 briefing, PDF pages 15–43
• 48. Endocrine Society testosterone-therapy guideline
• 49. Endocrine Society testosterone statement, July 2026
• 50. Endocrine Society hypogonadism patient information
• 51. AUA/ASRM male-infertility guidance, part II
• 52. Clomid prescribing information
• 53. AndroGel prescribing information, including secondary-exposure warning
• 54. Anastrozole prescribing information
• 55. Cialis/tadalafil prescribing information
• 56. FDA testosterone information
• 57. CDC stroke symptoms
• 58. CDC heart-attack symptoms
• 59. CDC blood-clot symptoms
• 60. HHS current telehealth prescribing summary