Frequently asked questions

Are your services covered by insurance?


We are a cash based practice. We do not accept any insurance, including Medicare and Medicare. We are categorized as "out-of-network" providers for insurance plans.





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FREQUENTLY ASKED QUESTIONS

ARE YOUR SERVICES COVERED BY MY INSURANCE?

We are a cash-based practice. We do not accept any insurance, including Medicare or Medicaid. We are categorized as “out-of-network” providers for insurance plans. If requested, we will provide the documentation required for you to bill your insurance company, and you will be reimbursed according to your out-of-network benefits. If you are unsure what your benefits are, please check with your insurance company prior to your appointment. In addition to our professional fees, there are the lab tests. Even though we are “out of network”,  the labs we use may be in your network.

HOW MANY APPOINTMENTS WILL I NEED?

You will need an initial visit and lab review visit and then be seen every 3-4 months for the first year as we optimize your hormones. Once established, most women will only need two visits per year while continuing to use hormone replacement medication, as recommended by The North American Menopause Society.

 

If you are only using thyroid medication, your dose will need to be titrated or adjusted upward gradually and this can take several visits. Once you are feeling well, you will only need to be seen every 6-12 months for ongoing management.

WHEN SHOULD I TEST MY HORMONES?

We believe most people should have their hormones checked by the age of 40, or earlier, if they are experiencing symptoms of hormonal imbalance. The way to prevent illness and to optimize one's health is to take an active role in addressing health care risks before they become a problem. Getting tested when you still feel good gives you a benchmark for later comparison as the inevitable hormone changes and decline begin.

HOW OFTEN WILL I NEED TO TEST MY HORMONES?

Hormone testing is ordered initially to evaluate your baseline hormone levels, and again after 3 months, once your symptoms have improved. At a minimum we will test you twice yearly because hormone replacement needs can change over time resulting in doses that may be too low or too high. Symptoms and testing are the best ways to ensure your customized dose is still optimal for you. If symptoms require a dosage change, a follow-up test is done in 3-4 months to assess how you are responding to your hormone treatment change. It is important to perform this follow-up test on time to avoid any over or under dosing of your hormone medications. 

IS HORMONE REPLACEMENT THERAPY SAFE?

Yes, numerous studies have shown that hormone therapy is safe when administered in the correct dosage and monitored by a qualified provider. There can be side effects from any medications, including hormone replacement and/or thyroid medication. If you are experiencing moderate to severe symptoms, the benefits of hormone therapy will likely outweigh the risks. The severity of your symptoms, your personal and family medical history are an important part of your health assessment and will guide the discussion for the appropriate treatments options. We will put a program together especially for you at your first visit.

WHY SHOULD I USE BIOIDENTICAL HORMONES?

Bioidentical hormones are an exact replica of the hormones naturally produced by the body. The difference between bioidentical hormones and synthetic hormones is that, although both are created in labs, synthetic hormones are not identical to the hormones naturally created in your body. Bioidentical hormones match your body's hormones molecule by molecule.

Depending on your symptoms and which hormone(s) your body needs, your plan may include prescriptions for bioidentical hormones such as estrogen, progesterone, testosterone, thyroid hormones, DHEA or others as needed. 

Human life expectancy has doubled over the last 100 years. Many women will be spending a third or more of their lives in menopause. Women suffering from menopause or perimenopause, use bioidentical hormones to replace natural hormones that decline in their bodies with age to help increase their quality of life.

Comprehensive research proves that bioidentical hormones such as estrogen, progesterone, thyroid and testosterone are not only safe, but have a positive impact on diseases like osteoporosis and dementia, especially if started within the first five years of menopause.

HOW LONG WILL IT TAKE TO FEEL BETTER?

Some patients begin to feel the effects immediately. In general, we ask that you give the plan at least 6-12 months for the best results.

ARE THERE ANY OTHER OPTIONS TO HELP ME FEEL BETTER?

Definitely!  We can help design a self care plan for you that may include use of supplements, diet changes, herbal products, stress management, exercise and other lifestyle change recommendations to help you feel your best!