Seattle Menopause Medicine

About Seattle Menopause Medicine

What is Seattle Menopause Medicine?

Seattle Menopause Medicine is a physician-run menopause practice with offices in Seattle and in Bellevue on the Eastside. Its web pages describe care from early perimenopause through the menopause transition. Visits happen in person at either office on set weekdays, or by telehealth through its Charm Health Portal. Its doctors are Naomi Busch, MD, and Natalia Dvorak, MD. The footer lists the NAMS Certified Menopause Practitioner (NCMP) credential without naming which doctor holds it. Its Google listing shows a rating of 5 from 8 reviews.

Hormone therapy is one of its main treatments. It says it can prescribe estrogen, progesterone and testosterone in forms such as creams, gels, oral hormones, patches and vaginal rings, and that it works with a compounding pharmacy when needed. It does not recommend pellet implantation. For hot flashes, it names the non-hormone prescriptions gabapentin, fezolinetant, elinzanetant and oxybutynin. Its services also cover low bone density, vaginal dryness, sleep issues and PCOS. It does not list weight loss, peptide or longevity services.

The clinic is plain about one limit. In its own words: "Our doctors will not be acting as your primary care physicians." They will give you a list of recommended screening tests to take to your primary care visit.

This listing is for its Bellevue office at 1427 116th Ave NE.

What does it cost?

Visits are cash pay. A new patient visit is $450 (up to 60 minutes), a follow-up is $250 (up to 30 minutes), and a yearly visit for an established patient is $300 (up to 40 minutes). An IUD or endometrial biopsy is $300 and is done only by Dr. Dvorak. Extra time costs $50 for each 15 minutes, and a Pap smear is also $50. Booking requires a credit card and a $150 deposit, which is applied to the visit. If you cancel prior to 48 hours, the deposit is refunded. Messaging your physician may carry a $100 charge.

The clinic is out of network with all insurers, including Medicare and Medicaid. It will provide a superbill on request for you to submit, but it makes no guarantee of reimbursement. It accepts HSA or FSA cards on file. It does not publish prices for hormone therapy or medications, and it does not say whether medication is included in visit fees.

What should you ask before you book?

Ask which doctor will sign your prescription and whether that doctor will see you for follow-up. Ask whether the visit fee includes medication, and what a hormone therapy or non-hormone prescription costs on top of it. Ask whether the hormones are brand-name or compounded, and what the compounding pharmacy charges.

Ask what lab work costs and who orders it, since lab fees are not included in the yearly visit. Ask which states telehealth visits serve. If you have Medicare, ask which doctor you would see. Dr. Busch sees Medicare patients under a private contract, and Dr. Dvorak does not see Medicare or Medicaid patients. Ask which doctor holds the NCMP credential.

Who is it a good fit for?

This is a good fit if you want menopause care from a physician, you plan to pay out of pocket, and you are ready to confirm medication pricing before you book. It is not the right fit if you need a primary care doctor, since the clinic does not take that role.

Sources: seattlemenopause.com, seattlemenopause.com/services, seattlemenopause.com/faq

Services Offered

Hours

Seattle - in person Wed/Fri

Location