Intermountain Healthcare

Short answer: there’s no single national list — whether a menopause clinic takes insurance depends on the clinic’s ownership (academic hospital, health system, private practice, or direct‑to‑consumer telehealth) and your individual plan. I can give targeted names if you tell me your city and insurer, but here are practical places to look and specific organizations that commonly accept insurance. Where to start Large academic medical centers and major health systems usually accept most commercial plans, Medicare (often) and sometimes Medicaid. Examples: Mayo Clinic, Cleveland Clinic, Johns Hopkins Medicine, Mass General Brigham (Mass General/Brigham and Women’s), UCSF Health, Mount Sinai, Northwestern Medicine. These systems have menopause or women’s health specialty programs and are more likely to bill insurance. Integrated insurers/hospitals: Kaiser Permanente (accepts only Kaiser members in their regions), Sutter Health, Intermountain Healthcare — if you are a member, you get in‑network menopause care. Local OB/GYNs, primary care physicians, and endocrinologists in your insurer’s network often manage menopause care and will bill insurance. Specialty menopause clinics run as boutique/private practices and many direct‑to‑consumer telehealth menopause/HRT companies (for example, Gennev, Plume, Bonafide, MenoLabs — business models vary) often operate on subscription or cash-pay; some also work with employer plans or offer superbills for out‑of‑network reimbursement. Tools and named services to find insurance‑taking providers North American Menopause Society (NAMS) Find‑a‑Clinician: targeted list of clinicians who focus on menopause. Your insurer’s “Find a Provider” directory (online or by phone) — search OB/GYN, endocrinology, or “menopause” if available. Hospital system websites (Mayo Clinic, Cleveland Clinic, Johns Hopkins, UCSF, etc.) have provider pages that list accepted insurances or a billing contact. Questions to ask when you call a clinic/billing office “Do you take [name of my insurance plan] and am I in‑network or out‑of‑network?” “Do you bill for telehealth visits?” “Will hormone therapy (including lab tests, prescriptions, compounded hormones) be covered, and are prior authorizations required?” “What codes do you bill for an initial menopause consult (so I can ask my insurer about coverage)?” Quick tips If you have Medicare, academic centers and most hospital systems accept Medicare but check for network status and supplemental coverage. If cost is a concern, ask for a superbill if the clinic is out‑of‑network — your insurer may reimburse part of it. Employer‑sponsored menopause programs (Maven Clinic and some employer partnerships) may cover visits or coaching through your employer’s benefits. If you want, tell me: Your city/ZIP and the exact name of your insurance (e.g., Blue Cross Blue Shield X plan, Aetna PPO, Medicare Part B + supplement), and I’ll look up specific menopause clinics/providers near you that typically take that insurance.

Mentioned in position 3 of 9