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Florida and Colorado.  

No we are not contracted to accept any insurance policies for payment. If you are a Medicaid recipient, we are unable to have you as a patient.  If you are a Medicare recipient, you’ll sign a private contract for care which means you will not be able to get reimbursed by Medicare.  Those with private health insurance we can provide receipts to attempt reimbursement. As a small practice with limited resources, we are unable to get involved in reimbursement claims outside of providing a receipt. This means we can’t spend time debating with your insurance company, filling out paperwork, filing appeals, etc. 

Bloom is a menopause only clinic we accept women between the ages of 45-75.  For women older than 75 and new to taking HRT, although you may qualify for HRT it should be done in person as additional tests and physical exam is necessary. We are happy to offer our bladder/vaginal program to women over age 75. Click here to learn more. 

In order to keep care streamlined we are not treating women in early perimenopause still having regular periods. Those with a gynecological history including fibroids, polyps, endometrial hyperplasia, PCOS, ovarian insufficiency, heavy or unexplained bleeding.  If you’re not sure if you’re a candidate drop us an email at hello@bloomhrt.com and we’ll be happy to discuss. 

Upon receipt of your intake forms if it’s deemed, you’re not a candidate for therapy you will be issued a full refund.  No strings attached.

Yes. 

At Bloom, we pride ourselves on being a small, intimate practice where you’re more than just a patient—you’re part of our community. You’ll always see the same nurse practitioner who truly knows your story.  Our ARNP has received specialized training in menopause that your regular provider may lack. For example, primary care providers typically order the wrong testing to evaluate women on HRT and this can make your treatment less effective.  We are skilled at the symptoms and subtle issues that require fine tuning your treatment that others are not.  We spend more time with you to understand your unique needs as opposed to generalizing treatment. These are just a few of the things that can make the difference between getting by and feeling great.

If this is your first time starting HRT you’ll need a follow up at 3 months to review labs, symptoms and your treatment plan.  We may need to make adjustments depending on how you’re feeling and recheck in 3 months with another set of labs and a visit. We’ll do that until your optimal and your dose in “dialed in.”  Sometimes this happens fast other times it takes a bit longer. Everyone responds differently.  Once you’re feeling great and your levels are stable, follow-ups are flexible — you can book an appointment anytime you feel it’s needed.  Refills for the same dose and form of medication do not require a visit so long as you’re feeling well.  I do need to see you once a year to maintain the plan.

However, a follow-up is required if:

• There’s a change to your plan of care

• You need to adjust your medication (dose, form, or route of delivery)

• You want to review new lab results

• You’re experiencing side effects or need to discuss your response to treatment

• Once a year to review labs and check in.

Think of it like your regular doctor’s office — if you need to see your provider, simply book an appointment with your ARNP.

• Initial consultation is $129
• 3 month follow up is $99
• Yearly follow up is $99
• Anytime visit $99

Labs are typically not required to start.  You can use insurance to pay for labs or cash pay ($155).

• HRT 3 month package $139/mo  includes medical management and generic medications (estradiol patch or gel and progesterone pills).
• Labs roughly $155 or use insurance.

Check out our full pricing page here.

Yes.  Just be aware that the medical management fee is still $139/mo.  Some other things to consider: We are not contracted with insurance companies so are out of network.  Sometimes this results in refusal or higher costs of prescriptions.  Check to see what is covered first.  Not all insurance will cover HRT. 

We can also custom create compounded medications from one of our compounding partners or send to your compounding pharmacy provided they have electronic capability to receive prescriptions.  Additional fee may apply.