Premier Medical Aesthetics

About Premier Medical Aesthetics

What is Premier Medical Aesthetics?

The clinic is a medical spa with offices in Berlin, Ridgefield, and Washington Depot, Connecticut. Most of its services are cosmetic: Botox and other injectables, Sculptra, facials, skin rejuvenation, body sculpting, and Xerf skin tightening. Bioidentical hormone replacement therapy (BHRT) is its only hormone service. Some of its online listings mention weight loss, but no weight loss program is among its services.

It describes itself as owned and operated by board-certified nurse practitioners. Its named prescribers are Dr. Kellyann Kosma, APRN, DNP, NP-C, and Dr. Danielle Grauer, DNP, FNP-BC, MSN. The business was co-founded in April 2015. Google lists it as a medical spa, with a rating of 5 from 128 reviews.

For hormone therapy, the clinic starts with a consultation, then tests blood, saliva, or urine before prescribing hormones such as estrogen, progesterone, and testosterone. Hormones can be given as creams, pills, patches, pellets, or injections. It says its hormones are typically derived from plant sources and custom-compounded. In its own words: "All consultations are free with one of our nurse practitioners all in a calm and non-pressure environment."

This listing is for its Berlin office at 1091 Farmington Ave.

What does it cost?

It does not publish prices for hormone therapy, and it does not say whether the hormones are included in any fee. The first consultation is free. Membership costs $99, $149, or $199 a month, depending on tier. Those payments go into a prepaid wallet that can be applied to treatments at the membership rates. The membership list covers injectables, fillers, microneedling, and skincare products. Hormone therapy is not on it. Treatments not on the list are charged at normal pricing at the time of treatment. Financing is available through an online application. It does not say whether it accepts insurance, and it does not state how membership cancellation works.

What should you ask before you book?

Ask which prescriber will sign your hormone prescription, and who adjusts your dose and reviews your follow-up bloodwork. Ask whether any quoted price includes the hormones themselves. Ask how the custom-compounded hormones are made and by whom. Ask what the initial testing costs, and what each follow-up visit and repeat lab draw will cost. Ask whether any part of care can be done by telehealth, because it does not say. Ask whether it bills insurance, and how a membership is cancelled. If weight loss is part of your goal, ask directly, since no weight loss service is listed. You can call (860) 499-4643 to put these questions to the clinic.

Who is it a good fit for?

This is a good fit if you live near Berlin, Ridgefield, or Washington Depot, want hormone therapy alongside cosmetic treatments, and are ready to pay out of pocket with prices confirmed in writing before you start. If you are looking mainly for hormone or weight loss care, or you need insurance billing, a different kind of practice will likely suit you better.

Sources: premiermedct.com, premiermedct.com/bioidentical-hormone-replacement-therapy, premiermedct.com/about

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