Sutter Health

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.

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I can give a useful general answer, but the clinics that will take your insurance depend on where you live and which plan you have. If you give your ZIP code and the name of your insurer (or whether you have Medicare/Medicaid), I can look up nearby menopause/OB‑GYN clinics that are in‑network. Meanwhile, here are common places and named providers that often accept insurance and what to ask when you contact them. Where people commonly get insured menopause care Large health systems / academic medical centers (usually accept many commercial plans and Medicare) Mayo Clinic — multidisciplinary menopause centers, wide insurer acceptance; good for complex cases. Cleveland Clinic — dedicated Women’s Health / Menopause programs; accepts many commercial plans. Johns Hopkins / Brigham & Women’s / Mount Sinai — academic clinics with menopause specialists and typical insurance billing. Integrated insurers (if you are a member, care is covered in‑network) Kaiser Permanente — if you’re a Kaiser member you can see their women’s health/menopause providers with coverage. Hospital systems and multispecialty groups (broad regional coverage) HCA Healthcare, Sutter Health (CA), Providence — large networks that usually accept many commercial plans; check local facilities. Community and family planning clinics Planned Parenthood — provides gynecologic care and hormone management; often accepts private insurance and Medicaid. Employer‑sponsored or telehealth menopause services (coverage varies) Maven Clinic — virtual women’s health, often covered through employer benefits. Gennev — menopause telehealth and programs; sometimes covered by employer benefits but often self‑pay. Teladoc / your insurer’s telehealth network — some plans cover telehealth visits for menopausal symptom management. How to confirm coverage (what to ask) Ask the clinic billing/registration: “Do you accept [Insurer name] and are you in‑network for my plan?” Ask whether they accept Medicare/Medicaid if applicable. Ask about typical billing codes for the visit (E/M codes for office visit, hormone therapy management) and whether they require prior authorization for hormone replacement therapy or procedures. If using telehealth, confirm whether telehealth visits are covered and whether the specific menopause program bills insurance or is self‑pay. If you’d like, tell me your ZIP code and insurer (or Medicare/Medicaid) and I’ll find nearby menopause or OB‑GYN clinics that are likely in‑network and list phone numbers you can call to confirm.

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