The answer to this question depends on your specific provider and the coverage within your insurance policy.

Medical Services

Our Hormone Health Program includes services provided by licensed healthcare professionals, such as Nurse Practitioners and Naturopathic Doctors, which many insurance policies may cover. However, insurance policies vary significantly in terms of patient eligibility, provider eligibility, and coverage percentages for these types of services. Depending on your insurance provider’s guidelines, appointments with our team members may be eligible for reimbursement under categories like Nurse Practitioner or Naturopathic Medicine.

After each appointment, you will receive a detailed receipt outlining the services provided and the credentials of the provider who delivered your care. This receipt can be submitted to your insurance company for reimbursement based on the terms of your policy. While many insurance policies cover services included in our program, we cannot guarantee specific coverage, so it’s essential to confirm eligibility and coverage details directly with your insurance provider.

If some services are not covered under your insurance plan, they may still be eligible for reimbursement through a Health Spending Account (HSA), which allows you to claim various health-related expenses.

Please keep in mind that we cannot falsify or alter receipts to change the service classification under a different modality for insurance purposes. Falsifying receipt details is considered insurance fraud. If you plan to use insurance for a specific discipline, let us know before your appointment so we can ensure the appropriate clinician is assigned from the outset. Our team will work with you to provide accurate documentation aligned with your needs and the requirements of your insurance provider.

Supplements

The supplements recommended in our hormone health program, such as Black Cohosh, Red Clover, Dong Quai, Ginseng, Fem-Matrix, and various Symphony Natural Health products, are generally not covered by insurance plans. However, you may be able to use funds from a health spending account (HSA) or flexible spending account (FSA) to pay for these supplements. HSAs and FSAs allow you to set aside pre-tax dollars for qualifying medical expenses, which can include certain supplements. Check with your HSA or FSA administrator to confirm that the supplements recommended in our program are eligible expenses.

Some of the key supplements we may recommend include:

  • Black Cohosh: Known to alleviate hot flashes, night sweats, and mood swings by mimicking the effects of estrogen.
  • Red Clover: Contains isoflavones that produce estrogen-like effects, reducing hot flashes and improving bone density.
  • Dong Quai: Referred to as “female ginseng,” it is effective in treating hot flashes and menstrual irregularities.
  • Ginseng: Boosts energy levels, combats fatigue, improves mood, and promotes a sense of well-being.
  • Fem-Matrix: A blend of herbs designed for menopausal support, combining Black Cohosh, Dong Quai, and others.
  • Symphony Natural Health products: A range of supplements tailored for menopause and perimenopause support, including Femmenessence Pro Harmony, Femmenessence Pro Perimenopause, Femmenessence Pro PostMenopausal, and pH Quintessence Pro.

Prescription Medications

Medications prescribed by your provider and filled at a pharmacy may be covered by your insurance plan, depending on your specific policy and formulary. Some of the medications we may prescribe could include:

  • Progesterone: Prometrium capsules, compounded “Ultimate Sleep” capsules, or compounded “PMS cream” or “Calm cream.”
  • Estrogen: Compounded Biest cream, compounded Estradiol cream, or compounded Estradiol capsules.
  • Testosterone: Compounded testosterone cream for women or men, or Delatestryl injections for men.
  • Thyroid: Desiccated thyroid pellets (Armour Thyroid or NP Thyroid) or compounded T3 capsules.
  • Pleasure Creams: Compounded creams containing various ingredients like testosterone, sildenafil, and others.
  • Miscellaneous: Compounded “Miracle Hair Growth Foam” containing latanoprost, finasteride, and minoxidil.

If you have any further questions about potential insurance coverage for our hormone health program, please don’t hesitate to contact us. We’re here to help you understand your options and make the most of your healthcare benefits.