Your Questions, Answered.
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New Patient Consult (60 min): $525
New Patient Consult — Cancer/BRCA Survivor (90 min): $600
Follow-Up (30 min): $275
Follow-Up (45 min): $325
Follow-Up — Cancer/BRCA Survivor (45 min): $360Insurance is not accepted, but I provide a superbill after every visit so you can seek reimbursement, and HSA/FSA cards are welcome.
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The Menopause Clinic is a cash-pay practice. I don't bill insurance directly, but I provide a superbill after each visit that you can submit to your insurance for possible reimbursement. HSA and FSA funds are accepted. This model exists for one reason: it allows me to give you the time and quality of care you actually deserve.
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Transparent pricing for initial consult and follow-up appointments will be coming soon.
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Yes. I prefer to meet in person for your first visit when possible, but virtual visits are available and I want to meet you where you are. The clinic is centrally located in Saint Paul, Minnesota.
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Absolutely. Perimenopause is its own distinct and often challenging transition, and there's a lot we can do to help you feel better. Many women have been told they need to be period-free before hormone therapy is an option — that's not true.
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Yes. We'll work together to find solutions that are right for your body and your goals. If an FDA-approved medication is appropriate, I'll prescribe it.
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"Bioidentical" is largely a marketing term. I prescribe FDA-approved hormone therapies that are appropriate for you — no pellets, no unregulated compounded medications.
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For some women, yes. Testosterone is a commonly underutilized option for perimenopausal and menopausal symptoms and we'll discuss whether it's right for you.
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I welcome patients with Medicare and Medicaid, but I have opted out of the Medicare program, which means visits are self-pay with transparent fees. However, any lab work or imaging I order may still be eligible for Medicare coverage — so you're not starting from zero.
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The Menopause Clinic is designed to work alongside your primary care physician or OB-GYN, not replace them. You'll continue seeing them for routine care, and I'll help make sure you're up to date on important screenings. Our time together is consultative — focused on what you're struggling with, what your options are, and working together over time to get you feeling like yourself again.
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I partner with both Labcorp and Quest, with convenient locations throughout the Twin Cities. I'll order your labs, you'll get them drawn at a location near you, and I'll review every result with you directly.
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Yes — and this question is near and dear to my heart. As a breast cancer survivor myself, I believe deeply that women who've been through cancer deserve exceptional care, not dead ends. Want more detail on how I approach care after cancer? Visit my Cancer and BRCA Care page
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Often, yes. This is different from being in active cancer treatment, and I want women in this situation to know that clearly. Removing your ovaries before natural menopause brings on sudden, often significant symptoms — and leaving that unaddressed carries its own risks to your bones, heart, and brain over time. For many BRCA carriers, especially those without a personal history of breast cancer, hormone therapy is a safe and often recommended option. We'll go through your specific mutation and history together so you can make this decision with real information, not just default caution.
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Yes. I meet every patient where they are and treat them appropriately. Hormones are not the right answer for everyone, and there are good non-hormonal options we can discuss.
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Absolutely, yes.
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Yes. I'll meet you exactly where you are today. We'll review what you're currently taking, what you've tried, what's worked and what hasn't — and we'll build a plan to help you feel better and meet your goals.
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Initial appointments are one hour. Follow-up appointments are 30–45 minutes. This is intentional — you will never feel rushed here.
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You're able to message me directly through the patient portal between appointments.
Michelle Chestovich, MD