You have options--because we each have individual needs.

--6 month telehealth membership--includes initial 60 min telehealth zoom, 2 x 30 minute follow up zooms and unlimited portal messaging for SIX MONTHS. After 6 months, you have the option of paying monthly should you need ongoing prescriptions coverage AND the option à la carte 30-60 minute follow up zooms as needed.

--one year telehealth membership--includes initial 60 min telehealth zoom, 3 x 30 minute follow up zooms and unlimited portal messaging for ONE YEAR.

--1 hour "deep dive" telehealth zoom where I consult and give you the info you need to make better decisions about midlife, peri/menopause OR other health issues lie PCOS, HPV, herpes, contraception, fibroids, pregnancy loss--please note this does NOT include follow-up OR prescriptions BUT should you choose to join one of the memberships this will be credited toward you time and fee

Correct, I do not participate with insurance in my DPCM. (There is an annual charge that covers all 4 telehealth/video calls and unlimited messaging). That said, I CAN provide a "superbill" after each telehealth session that will include the appropriate diagnostic codes for people to submit to their insurance companies.

Insurance companies do not adequately reimburse for long, in-depth visits or for ongoing direct messaging. Over time, I found that the best way to truly educate patients, reduce anxiety, and help them feel confident about their health is through longer visits and multiple touchpoints. A membership model allows me to spend the necessary time with you without the pressure of rushed, insurance-driven care.

Medical telehealth services are available to patients who are physically located in Connecticut or Florida at the time of their visit, where I am licensed to practice. Patients outside these states may schedule a one-time educational consultation.

It is very important for our relationship to be collaborative and that means that I also want to be very respectful of your relationship with your insurance-based clinicians.

Since I understand the restraints of that model, I will specifically direct you to make an in person or telehealth appointment with your clinician if there are any medical issues that need to be addressed.

The current model is broken because of the hours of unreimbursed care that clinicians are expected to compete complete for patients (i.e. phone calls during office hours or after hours, lengthy portal and text messages, radiology and lab tests that take time, effort and resources to order, evaluate and communicate about.)

No. I require all patients to maintain an in-person primary care clinician and a women’s health provider. In-person care is essential for many aspects of good health, including clinical breast exams, Pap tests, pelvic exams, and physical evaluation of the heart, lungs, thyroid, and other concerns that require hands-on assessment. My telehealth practice is designed to complement, not replace, your in-person medical care.

My membership is exclusively telehealth and therefore it IS necessary and actually a requirement of my practice that you still maintain your own primary care physician as well as OB/GYN.

I feel very strongly that your general health is incredibly important and that while I can help strategize perimenopause/ menopause, you still need an in person clinician who can be sure to complete all of your screening tests like your screening mammogram, Pap smear/HPV test, routine bloodwork, referral for colonoscopy, bone density test (ALL with the benefit that they are covered by insurance) as well as be able to address any issues that may need a physical exam.

Possibly. Many patients are able to use FSA or HSA funds for membership fees. I can provide a superbill, which you may submit to your insurance company or benefits administrator to request reimbursement, depending on your individual plan.

No. While this telehealth practice initially focused on midlife women, I have found that many patients at different stages of life benefit from this model. I regularly work with women navigating PCOS, endometriosis, fibroids, infertility, pregnancy, pregnancy loss, cancer survivorship, preparing for pregnancy, and even uncomplicated pregnancies.

Many patients seek additional guidance not because their in-person clinicians don’t care, but because traditional insurance reimbursement limits visit length. In many practices, clinicians are required to see four to six patients per hour, which can make deeper education and reassurance difficult. Telehealth allows the time and space for more comprehensive support.

When you sign up I will request that you forward me your basic screening tests that should have already been done by your primary care or OB/GYN, these include:

• Screening mammogram

• Pap smear/HPV test

• Colonoscopy if you’re over 45

• Bone density test if you’ve had one

• Blood tests including:

  • Complete blood count

  • TSH (thyroid tests)

  • Cholesterol

  • Vitamin D three

After our initial one hour video visit I will be able to determine if other blood or radiology tests are necessary and will be able to order those.

While hormone replacement therapy is a VERY important part of management for midlife women, it is not the only valuable tool, nor is every woman a candidate nor does every person who is perimenopausal or postmenopausal have to use it.

For patients who truly only want hormones with no educational/collaborative appointment—I strongly encourage them to speak to their OB/GYN or primary care physician or consider one of the online/asynchronous telehealth models.

The purpose of my DPCM is for patients to TRULY understand the process and how it involves and how they can use various methods including (but not exclusively!): hormones, nutrition, physical activity, vitamins/minerals, other OTC or prescription medications, and mindset changes. I believe this collaborative process really leads to the best possible outcome where people understand the changes in their body.

All that said, I frequently prescribe hormone replacement for the treatment of perimenopausal or postmenopausal symptoms for those that need it.

Yes. Most clinicians who practice menopausal medicine aim to use bioidentical hormones when appropriate. There is often confusion between the terms bioidentical and compounded. Per Menopause Society guidelines, I typically prescribe bioidentical hormones from non-compounding, commercial pharmacies, allowing patients to use insurance for FDA-approved medications whenever possible.

In some cases, a patient may need a specific formulation that commercial pharmacies cannot provide. When appropriate, I can prescribe through a small number of trusted compounding pharmacies.

No. Telehealth is not intended for emergencies. If you are experiencing urgent or concerning symptoms, you should contact your local clinician or seek emergency care.