Hormone imbalances and insurance:
Bioidentical hormone replacement therapy (BHRT) is a unique practice and is considered a form of integrative medicine. Insurance companies do not recognize BHRT as medically necessary. BHRT at New South Family Medicine and MedSpa is considered elective, like aesthetic procedures or plastic surgery. All providers engaged with BHRT are certified.
Lab Work: {SCHEDULE FIRST}
At New South Family Medicine and MedSpa, we provide affordable self-pay lab testing for BHRT through LabCorp. The cost for your hormone blood panel is $75, which you pay each time you come in for lab work. Please note that we do not submit costs to your insurance company or LabCorp on your behalf, nor do we contract with LabCorp to submit through your insurance company. If you wish to seek reimbursement, you may submit a request directly to your insurance company, but we cannot guarantee it.
Payment and Reimbursement:
Payment in full is required at the time of service. You can request a receipt as evidence of your treatment, which is solely your responsibility. We do not submit for reimbursement with your insurance company to provide a letter with diagnosis codes for BHRT lab work associated with BHRT. If you have a Health Savings Account, you can use it to pay for your treatment and lab work.
The hormone program and DPC members:
Our BHRT program is distinct from the direct primary care practice at New South Family Medicine and MedSpa. Patients receiving hormone therapy elsewhere or through the DPC membership practice at New South Family Medicine and MedSpa are not eligible for rate adjustments. If you opt for treatment with our BHRT providers, it is a separate service from the primary care membership program, and you must pay fees on the day of your visit.
APPOINTMENTS AND PRICING
New patient/Lab $75
We require you to undergo lab work before starting Bioidentical Hormone Replacement Therapy at New Family Medicine and MedSpa. This will enable your provider to decide your treatment plan. To prepare for your initial lab appointment, please complete the BHRT New Patient Forms sent to you via email. It only takes a few minutes and helps us to set up your account.
New Patient Prescription Plan $250
This appointment is exclusively for new hormone patients. Your provider will review your lab work, answer your questions, and create a treatment plan tailored to your unique needs and lifestyle. Medications and supplements will be prescribed accordingly. Pellet insertion is also available for an additional fee
Repeat Labs $75
All new hormone patients, regardless of gender, will undergo lab work six weeks after starting hormone replacement therapy. This is to assess hormone levels and make any necessary adjustments. Female patients will need follow-up lab work every 3-4 months, while male patients will need it every 5-6 months.
Six-week follow up/New patients only (one-time appt.) $125
During your appointment, we will review your hormone levels and make necessary adjustments for non-pellet. We may add an extra hormone pellet for those receiving pellets, with an additional charge of $50 per pellet (usually 1-3 pellets). The fee for inserting the pellet is waived during this appointment.
Female pellet insertion $425
Female hormone patients will return (3-4 months) to repeat lab work and to continue receiving hormones through pellet insertion.
Male pellet insertion $725
Male hormone patients will return (5-6 months) to repeat lab work and to continue receiving hormones through pellet insertion.