Nationwide telehealth hormone guide · Official policies reviewed August 2026
Understand Apex Medical Group Before Paying for Labs or Starting Hormone Treatment
The Apex Medical Group covered here is a U.S. telehealth hormone platform rather than a neighborhood walk-in clinic. Patients complete an online intake, receive a laboratory order, meet remotely with a licensed provider and may receive shipped medication when treatment is medically approved.
The important details are spread across program, laboratory, telehealth-consent and refund pages. This guide brings the state restrictions, prices, nonrefundable charges, laboratory process, treatment subscriptions, shipping rules, cancellation steps and medical-safety questions into one practical page.
Confirm the correct Apex business. This article covers the U.S. hormone-telehealth platform at apexmedicalgroup.us. It does not cover the Los Banos, California family practice, Apex Medical Group in Greece or the Australian clinic organization using a similar name.
No urgent or emergency care: Apex’s telehealth consent says its service cannot provide urgent or emergency treatment. Call 911 for chest pain, severe breathing difficulty, possible stroke, a severe allergic reaction, uncontrolled bleeding, loss of consciousness, suicidal intent or another potentially life-threatening condition.
Care model
Online intake, local lab draw and telehealth provider review.
Evaluation
$299 and currently described as nonrefundable.
Men’s membership
$199 per month after approval and consent.
Women’s membership
$249 per month after approval and consent.
Insurance
Self-pay; no Medicare, Medicaid or TRICARE participation.
Choose before entering payment details
Which Apex Medical Group option matches your goal?
LABS AND REVIEW ONLY
You want information before considering treatment
Apex offers a $299 laboratory panel with provider interpretation. The women’s laboratory page specifically says there is no automatic subscription or requirement to begin HRT.
Best for: obtaining the published laboratory panel and a provider explanation without agreeing to ongoing medication.
MEN’S TRT EVALUATION
You have symptoms and want a testosterone assessment
The process begins with medical history and blood testing. A subscription should begin only when the affiliated provider finds treatment appropriate and the patient chooses to continue.
Published cost: $299 evaluation, followed by $199 per month if enrolled.
WOMEN’S HRT EVALUATION
You want an evaluation for menopausal or hormonal symptoms
The women’s program uses symptoms, history and laboratory findings to discuss whether hormone treatment or another next step may be appropriate.
Published cost: $299 evaluation, followed by $249 per month if enrolled.
Safest starting principle: Pay for an evaluation only after confirming state eligibility, the exact tests included, the refund rule and whether the proposed medication would be FDA-approved or compounded.
Understand the legal care structure
Apex Medical Group is a platform, while affiliated providers deliver the medical care
Apex Medical Associates, LLC
The official website identifies Apex Medical Group as a trade name of Apex Medical Associates, LLC.
Telehealth platform role
Apex’s consent states that the platform facilitates online access but does not itself own a medical practice or employ and supervise the treating providers.
Affiliated medical providers
Apex says clinical services are delivered by independent licensed providers through its telehealth partner, TelegraMD.
Why this matters: Ask which clinician or medical entity is responsible for your consultation, prescription and medical record. The platform, treating provider, laboratory and dispensing pharmacy can be separate organizations.
Ask for the provider’s full name and credentials
Confirm the state in which the provider is licensed
Identify who maintains the consultation record
Identify the laboratory processing your blood
Identify the pharmacy dispensing the medication
Save each organization’s contact information
Your physical location affects prescribing
Apex Medical Group state eligibility and TRT restrictions
Apex’s intake accepts a state-of-residence selection for all 50 states, but its telehealth consent says provider availability and prescribing rules depend on the patient’s location and applicable state law.
Current published TRT restriction: The Apex homepage says testosterone cannot be prescribed through its telehealth program in Alabama, Arkansas, Connecticut, Georgia, Louisiana, Minnesota, Pennsylvania, Rhode Island or Puerto Rico.
Living in a restricted state
The provider may discuss another legally available option, but completing an intake does not guarantee that any particular medication will be available.
Traveling during the consultation
Tell the care team where you are physically located. Telehealth providers generally must be authorized to treat a patient in the state where the patient is located.
Moving to another state
Contact support before the move because provider assignment, laboratory access, prescription delivery and controlled-substance rules may change.
State-eligibility question
“I live in [state] and will physically be located there during my consultation. Which evaluations and treatments are currently available to me, which provider entity will treat me, and can medication legally be shipped to my address?”
From intake to delivery
How the Apex Medical Group evaluation works
Select your state and complete the health intake
Provide symptoms, medical history, current medicines, previous treatment, pregnancy or breastfeeding status where applicable, and other requested eligibility information.
Review the $299 charge before paying
The refund policy says the evaluation fee becomes nonrefundable when processed because the laboratory and consultation services begin.
Receive the laboratory requisition
Apex places an order through a partner laboratory network and directs the patient to a nearby collection location.
Complete the blood draw
Follow the timing, fasting and medication instructions attached to the requisition rather than relying on generic advice.
Wait for all laboratory components
Some markers return sooner than others. Do not assume the panel is complete when only part of it appears.
Complete the provider consultation or review
The licensed provider considers results, symptoms, medical history and lifestyle factors before making a recommendation.
Choose whether to proceed
Apex says the monthly treatment subscription is not supposed to begin without the patient’s explicit consent after consultation.
Prescription processing and delivery
When prescribed, medication is prepared by a pharmacy serving the patient’s state and shipped to the approved address.
Continue monitoring
The published membership includes quarterly laboratory testing, quarterly provider review, messaging and care-advisor support.
Save at every stage: Keep the intake confirmation, laboratory requisition, complete report, consultation summary, treatment consent, prescription label, shipment tracking and cancellation correspondence.
Read the payment rules before checkout
Apex Medical Group pricing and what each charge includes
Published prices, included services and important limitations
| Charge |
Published price |
What Apex says is included |
Important limitation |
| Initial evaluation |
$299 one time |
Comprehensive laboratory panel and one-on-one provider consultation or review. |
Refund policy says it is nonrefundable after payment, including when treatment is not approved. |
| Men’s TRT membership |
$199 per month |
Medication, quarterly labs, quarterly provider review, support and published messaging access. |
Begins only after approval and patient consent; verify the exact medicine and delivery schedule. |
| Women’s HRT membership |
$249 per month |
Medication, quarterly labs, quarterly provider review and care coordination. |
Verify the exact formulation, route, pharmacy and whether it is compounded. |
| Laboratory-only option |
$299 |
Panel, blood draw through a partner site and provider interpretation without automatic enrollment. |
Confirm whether a credit toward later treatment applies to the exact program purchased. |
| Dose adjustment |
Advertised as included |
Apex says dosage changes do not increase the monthly membership price. |
Confirm whether a different drug, delivery method or extra test creates another charge. |
| Cancellation |
No cancellation penalty listed |
Membership ends after written cancellation. |
Cancellation takes effect at the end of the billing cycle; partial months are not refunded. |
Do not confuse “no monthly fee if you do not qualify” with a free evaluation. The official refund policy says the $299 evaluation remains nonrefundable regardless of the treatment decision.
Official-page inconsistency to verify: The women’s standalone laboratory page says the full $299 can be credited toward the first HRT month, while the general refund policy describes the evaluation as nonrefundable and the treatment subscription as a separate charge. Obtain written checkout confirmation for the exact offer you purchase.
Screenshot the price and included services
Save the refund policy effective date
Confirm when monthly billing begins
Confirm the monthly renewal date
Ask whether shipping is included
Ask whether replacement shipments cost extra
Know what is being measured
What the Apex Medical Group laboratory panel includes
Apex describes a broad hormone and health-optimization panel. Exact markers can differ by sex, program, provider decision and the requisition issued to the patient.
Published laboratory categories and example markers
| Category |
Examples named by Apex |
Why the provider may review them |
| Sex and reproductive hormones |
Total and free testosterone, estradiol, progesterone, LH, FSH, SHBG, DHEA-S and prolactin. |
To examine hormone levels and the signals involved in hormone production and availability. |
| Women’s reproductive markers |
AMH and progesterone, with cycle or menopause context. |
To help place results in reproductive, perimenopausal or menopausal context. |
| Thyroid |
TSH, free T3, free T4, reverse T3, TPO antibodies and thyroglobulin panel. |
Thyroid disorders can produce symptoms that overlap with reported hormone symptoms. |
| Metabolic health |
Comprehensive metabolic panel, hemoglobin A1c, fructosamine, insulin, GGT and uric acid. |
To evaluate glucose patterns, liver and kidney markers, electrolytes and broader metabolic health. |
| Cardiovascular and inflammation |
Lipid panel, ApoB, high-sensitivity CRP and homocysteine. |
To establish cardiovascular and inflammatory baseline information. |
| Nutrients and blood health |
Vitamin D, vitamin B12, folate, RBC magnesium, iron, TIBC, ferritin and CBC. |
Deficiencies and anemia can contribute to fatigue, weakness and concentration problems. |
| Other baseline markers |
Cortisol, IGF-1, PSA where applicable, blood group and Rh factor. |
To provide additional baseline and safety information selected for the panel. |
Confirm the actual requisition, not only the marketing page. Apex describes its panel as “23+ biomarkers,” while detailed pages name a much larger number of individual tests. Ask for the exact laboratory order before the blood draw.
Women’s-panel detail to question: The current women’s laboratory page lists PSA among its safety and baseline items. Ask whether that test will actually appear on your requisition and why it is clinically relevant to your individual evaluation.
Prevent a failed or misleading blood draw
How to prepare for Apex laboratory testing
Use the instructions on your individual requisition. Do not fast, stop medicine, change a dose or alter a hormone schedule based only on a general online article.
Confirm whether fasting is required
Confirm the preferred collection time
Ask when to take the last hormone dose
List all medicines and supplements
Report biotin and high-dose vitamin use
Ask whether exercise should be limited beforehand
Bring identification and the requisition
Confirm that the draw site accepts the order
Ask whether every tube was collected
Save the collection confirmation
Women should provide cycle and reproductive context
Menstrual timing
Record the first day of the last period and the usual cycle pattern when still menstruating.
Pregnancy and breastfeeding
Apex requires patients to report pregnancy, possible pregnancy or breastfeeding because these can affect eligibility and treatment.
Current hormone products
List contraceptives, estrogen, progesterone, testosterone, fertility medicine and over-the-counter hormone products.
Men should report factors that affect testosterone interpretation
Previous testosterone or anabolic-steroid use
Fertility plans
Sleep apnea symptoms or treatment
Prostate history and urinary symptoms
Recent illness, sleep loss or major stress
Opioid and other relevant medication use
Use the provider review effectively
Questions to ask during the Apex Medical Group consultation
1
Diagnosis and evidence
Which symptoms and laboratory findings support the diagnosis, and which alternative causes were considered?
2
Treatment objective
What measurable symptom, laboratory or health goal should improve?
3
Medication identity
What is the drug, concentration, dose, route and dispensing pharmacy?
4
Approval status
Is the exact medication FDA-approved, compounded or being prescribed for an off-label use?
5
Monitoring plan
Which laboratory markers and symptoms will be reviewed, and when?
6
Stop or urgent-care rules
Which side effects require a message, prompt in-person care or emergency treatment?
Consultation script
“Please explain which findings support treatment, which other causes were ruled out, the exact medication and pharmacy, whether the product is FDA-approved or compounded, the expected benefit, important risks, monitoring schedule, fertility or pregnancy considerations, and what would make us reduce or stop treatment.”
Do not leave with only a target number. Ask for a written plan covering the diagnosis, symptoms being treated, medication instructions, monitoring dates, adverse-effect instructions and communication method.
Men’s testosterone evaluation
What men should verify before starting Apex TRT
Apex advertises TRT for men with symptoms and laboratory findings that an affiliated provider determines are appropriate for treatment. Symptoms alone do not establish a testosterone-related diagnosis.
FDA context: Testosterone is a prescription drug requiring individualized diagnosis and monitoring. Ask the provider to explain how your diagnosis and proposed treatment fit the current labeling and medical evidence.
Were low results confirmed when clinically needed?
What underlying cause is suspected?
Could sleep apnea contribute to symptoms?
Could thyroid, anemia or metabolic problems contribute?
How could treatment affect fertility?
Will CBC or hematocrit be monitored?
How will blood pressure be monitored?
What prostate evaluation is appropriate?
Which cardiovascular history changes the plan?
What symptoms require urgent evaluation?
Published membership inclusions
- Medication and delivery
- Quarterly laboratory testing
- Quarterly provider review
- Ongoing messaging and support
- Care-advisor access
Details requiring written confirmation
- Medication type and concentration
- Injection, topical or another route
- Needles or administration supplies
- Replacement and lost-shipment policy
- Fertility-preservation approach
Fertility tip: Tell the provider before treatment when trying to conceive now or in the future. Do not assume that every testosterone or alternative hormone protocol has the same reproductive effects.
Women’s hormone evaluation
What women should verify before starting Apex HRT
Hormone therapy decisions should consider the symptoms being treated, age, reproductive status, uterus status, personal and family history, medication route and the balance of potential benefits and risks.
Which symptom is the treatment intended to relieve?
Is the treatment systemic or local?
Do you still have a uterus?
Is progesterone or progestogen needed?
Is unexplained bleeding present?
Is there a history of blood clots or stroke?
Is there a relevant cancer history?
Is there liver disease?
Could pregnancy still occur?
What follow-up and screening remain necessary?
Hormone therapy is not appropriate for every patient. FDA and ACOG guidance identifies pregnancy, unexplained bleeding, certain cancers, previous blood clots, stroke, heart attack and liver disease among important concerns requiring individualized medical review.
FDA-approved versus compounded: ACOG recommends FDA-approved menopausal hormone products over routinely compounded formulations when an approved option is available. Ask why a compounded medicine is being proposed and how its strength, purity and consistency are checked.
Ask about the formulation
- Estrogen, progesterone or combination
- Patch, gel, pill, injection or local product
- FDA-approved or compounded
- Expected storage conditions
- Missed-dose instructions
Ask about monitoring
- Bleeding changes
- Blood pressure
- Breast and gynecologic screening
- Side-effect review
- Annual need-to-continue discussion
Prescription, compounding and delivery
How Apex medication shipping works
The Apex homepage says prescriptions are sent to a licensed pharmacy serving the patient’s state and shipped directly to the patient after a provider determines treatment is appropriate.
Refund-policy detail: Apex’s current refund policy identifies Strive Pharmacy as the compounding pharmacy used for individually prepared prescription medications. Confirm whether Strive or another state-authorized pharmacy will fill your exact prescription.
Provider issues the prescription
The prescription should identify the medication, concentration, dosage, route and authorized refills.
Pharmacy verifies the order
The pharmacy may need identity, address, payment, allergy or delivery confirmation.
Medication is prepared
Apex’s refund policy says compounded medicine is made for the individual patient and cannot be returned to stock.
Shipment is created
Apex says most orders ship within 48 hours after the prescription is issued and processed.
Patient receives tracking
Monitor the tracking page and arrange secure collection when refrigeration or temperature protection applies.
Inspect the package immediately
Check the patient name, drug, concentration, expiration, seal, temperature condition and administration supplies.
Published delivery estimate: Apex says most shipments arrive within three to five business days after shipment. This is an estimate rather than a guaranteed delivery date.
Confirm whether the package needs refrigeration
Ask what temperature exposure makes it unusable
Confirm the pharmacy’s replacement process
Do not use a damaged or incorrect product
Keep medication away from children and others
Never share prescription hormone medication
Delayed or damaged shipment script
“My prescription for [medicine] was expected on [date]. The tracking number is [number]. The package is [delayed, warm, damaged or incorrect]. Please tell me whether it is safe to use, whether the pharmacy must replace it, and whether my dosing schedule should change.”
Self-pay program
Insurance, Medicare, Medicaid, TRICARE, HSA and FSA rules
Commercial insurance
Apex says it does not bill insurance directly. Patients are responsible for the program charges.
Government coverage
The telehealth consent says Apex does not participate with Medicare, Medicaid or TRICARE.
HSA or FSA
The homepage says many patients use HSA or FSA funds when eligible, but the account administrator determines whether a charge qualifies.
Ask for an itemized receipt
Ask for the treating provider’s information
Ask for the diagnosis or service code when available
Confirm HSA or FSA eligibility before paying
Do not assume reimbursement is guaranteed
Keep laboratory and medication receipts separately
Out-of-network reimbursement: Apex does not promise that an insurer will reimburse the patient. Ask the insurer what documentation it requires before purchasing the evaluation.
HSA, FSA or reimbursement question
“Before I pay, can you provide an itemized description of the laboratory, consultation and treatment charges? Will I receive documentation showing the treating provider, service date and medical service so I can ask my HSA, FSA or insurer about eligibility?”
Know what cannot be refunded
Apex Medical Group cancellation and refund rules
Current published refund treatment by charge type
| Charge or request |
Current policy |
Best patient action |
| Evaluation fee |
$299 is nonrefundable after payment, regardless of treatment outcome. |
Confirm state eligibility and included tests before submitting payment. |
| Laboratory service |
Nonrefundable after the order is placed or service is completed. |
Review the requisition immediately and report errors before the draw. |
| Compounded medication |
Nonrefundable after the prescription is sent for individual preparation. |
Verify medication, dose, cost and shipping address before pharmacy processing. |
| Monthly membership |
May be cancelled without a cancellation penalty. |
Cancel in writing before the next renewal and request confirmation. |
| Partial billing period |
No refund for the unused portion of the current billing cycle. |
Ask for the exact final service and renewal dates. |
| Approved exception |
Reviewed case by case; approved refunds are listed as taking five to 10 business days. |
Submit a written explanation and supporting documents. |
How to cancel correctly
Find the next renewal date
Check the patient account, receipt or care-advisor message before sending the cancellation.
Send the request in writing
Email support or contact the assigned care advisor. Include the patient’s full name and account email.
State the requested effective date
Ask that renewal stop at the end of the current billing cycle.
Ask about active prescriptions
Confirm whether cancellation affects a prescription already sent to the pharmacy or a shipment already in progress.
Request written confirmation
Save confirmation showing the final charge date and membership end date.
Monitor the payment method
Review the next statement and contact support promptly if another renewal appears.
Cancellation message
“Please cancel my Apex Medical Group membership and prevent any renewal after my current billing cycle. My full name is [name], and the account email is [email]. Please confirm my final billing date, membership end date, status of any active prescription and that no further recurring charge will be submitted.”
Obtain a complete copy of your care
How to request Apex Medical Group records and documents
Apex’s telehealth consent says patients can access their healthcare information upon request. The public website does not currently provide a dedicated records form or detailed records-department workflow.
Complete laboratory report
Provider consultation note
Diagnosis and treatment summary
Current medication and dose
Prescription and pharmacy information
Monitoring and follow-up plan
Itemized payment receipts
Telehealth consent and treatment consent
Email support for current instructions
Ask whether the platform, affiliated provider or another medical entity holds the requested record.
Identify the patient
Include the legal name and account email, but do not send unnecessary sensitive information through an unsecured message.
State the exact documents needed
A focused request is easier to process than asking only for “everything.”
Request secure delivery
Ask for a secure portal, encrypted message or another approved transfer method.
Verify completeness
Check that the report includes every laboratory page, provider interpretation, medication and follow-up instruction.
Medical-record request
“I am requesting a copy of my complete Apex-related healthcare information, including my laboratory requisition and results, provider consultation note, diagnosis, treatment plan, medication list, prescription details and monitoring instructions. Please identify the medical entity maintaining the records and send the secure authorization and delivery instructions.”
Benefits and limitations
What Apex telehealth can and cannot do
Potential advantages
- Remote access without a clinic waiting room
- Local laboratory collection
- Electronic communication and follow-up
- Medication delivery when prescribed
- Access to state-licensed affiliated providers
Important limitations
- No physical examination through the website
- No urgent or emergency treatment
- Technology and communication failures can occur
- State rules may prevent a service or prescription
- Some findings require local in-person care
Maintain local primary care. Apex’s consent specifically says the affiliated providers are not a replacement for a local primary care physician. Share the hormone treatment, laboratory results and medication list with clinicians who provide your regular care.
Patient responsibilities stated in the telehealth consent
Answer health questions honestly and completely
Report all medicines and supplements
Report tests and treatment received elsewhere
Report pregnancy or breastfeeding changes
Report adverse physical or mental effects
Tell other clinicians about Apex treatment
Maintain a relationship with local primary care
Seek in-person care when directed
Privacy practice: Use the secure patient method provided for clinical information whenever available. Ordinary email is suitable for requesting instructions but may not be appropriate for sending detailed medical records, photographs or identification.
Solve common patient problems
Apex Medical Group troubleshooting guide
The draw site cannot find the laboratory order
Confirm the patient’s legal name, birth date, requisition number, ordering provider and correct partner laboratory before leaving.
The panel looks incomplete
Compare the report with the requisition. Some tests take longer, while others may have been omitted or cancelled.
The provider review is delayed
Apex’s women’s page says the review commonly follows two to three business days after results. Ask whether every test has returned.
You were not approved for treatment
Ask for the clinical reason, alternative next step and complete records. The $299 evaluation fee remains nonrefundable under the published policy.
A monthly charge appeared unexpectedly
Request the consent, enrollment date and billing authorization supporting the subscription.
The prescription has not shipped
Determine whether the provider signed it, the pharmacy accepted it and additional information or payment is required.
The medication arrived warm or damaged
Do not guess about safety. Contact the dispensing pharmacy and Apex support before using it.
You developed a possible adverse effect
Contact the provider promptly. Use 911 or an emergency department for serious or rapidly worsening symptoms.
You moved or are traveling
Report the current physical location before a consultation or shipment because state prescribing rules may differ.
Cancellation was not confirmed
Resend the written request, ask for escalation and keep copies showing when the first request was submitted.
Remote-care insider checklist
Practical tips that can prevent wasted money and treatment delays
01
Check the state first
Do not pay until the live intake confirms which services are available where you are located.
02
Save the checkout screen
Keep the price, included services, billing date and any credit promise shown at purchase.
03
Compare requisition and marketing
The actual laboratory order controls what will be collected, not the general panel description.
04
Ask who treats you
Record the affiliated provider and medical entity responsible for the consultation.
05
Identify compounded products
Ask why compounding is being used and whether an FDA-approved alternative exists.
06
Share care locally
Give the treatment plan and laboratory results to your primary care physician.
07
Track quarterly monitoring
Record the due date for the next blood draw and provider review rather than waiting for a reminder.
08
Cancel before renewal
Send written notice early enough to obtain confirmation before the next billing date.
09
Keep the pharmacy number
Medication quality, storage and delivery questions should also be directed to the dispensing pharmacy.
Ten practical answers
Apex Medical Group frequently asked questions
What is Apex Medical Group?
It is a U.S. telehealth hormone-care platform operating under the trade name Apex Medical Associates, LLC. Affiliated independent providers deliver the clinical care through its telehealth arrangement.
How much is the Apex evaluation?
The current published evaluation price is $299 and includes the laboratory panel and provider consultation or review.
Will the $299 be refunded if I do not qualify?
No, according to the current refund policy. It says the evaluation payment is nonrefundable regardless of whether hormone treatment is approved.
What are the monthly treatment prices?
Apex currently publishes $199 per month for the men’s TRT program and $249 per month for the women’s HRT program.
Does Apex accept insurance?
No. Apex says it does not bill insurance and does not participate with Medicare, Medicaid or TRICARE. HSA or FSA use depends on individual account eligibility.
Is TRT available in every state?
No. The current homepage lists Alabama, Arkansas, Connecticut, Georgia, Louisiana, Minnesota, Pennsylvania, Rhode Island and Puerto Rico as places where TRT cannot be prescribed through its telehealth service.
How long do laboratory results take?
Apex’s women’s laboratory page says most results return within three to five business days and the written provider review usually follows within another two to three business days.
Can I cancel the monthly membership?
Yes. Send written notice through the assigned care advisor or support email. Cancellation takes effect at the end of the billing cycle, and partial periods are not refunded.
Does Apex replace my regular doctor?
No. Its consent says patients should maintain local primary care and may need in-person evaluation for concerns that telehealth cannot address safely.
What should I do during an emergency?
Call 911 or go to the nearest emergency department. Apex does not provide urgent or emergency treatment through its telehealth platform.
Final live actions
Official Apex Medical Group and medical-safety resources
The prices, policies and practical process are explained above. Use the official pages below when you are ready to complete the final eligibility check, intake, purchase or cancellation.
