Insurance, Hormones, and the Help You Need

In Menopause/Perimenopause by Stephanie PrendergastLeave a Comment

By PHRC Admin


Let us help you untangle something that should be so simple yet is not and continues to be a problem for many; accessibility to healthcare that thousands across the nation need and could benefit from. There exists a notable disparity in the healthcare sector, often overlooked. It’s the inequality faced by individuals going through menopause when it comes to accessing affordable hormone treatments, compared to the ease of accessibility for medications treating conditions such as erectile dysfunction. This discrepancy not only sheds light on the high costs of hormone therapy but also highlights an alarming lack of awareness among medical professionals about its benefits.


The Cost of Hormone Therapy

Menopause is a natural stage of life that many will experience. Despite this, many find themselves grappling with the high costs of hormone treatments, a vital part of managing menopause symptoms. Regrettably, while treatments for conditions like erectile dysfunction are readily accessible and reasonably priced, those going through menopause often struggle to find affordable options for their hormonal needs.


Take this quote by Deborah Copaken for example:


“If I were a middle-aged man suffering from erectile dysfunction, I could walk into my neighborhood pharmacy and buy a 30-day supply of Sildenafil (the generic for Viagra) for $8.67 out of pocket, and, no, that’s not the insurance copay.”


Copaken’s recent article, “How to Hack Insurance So You Can Get the Hormones You Need,” featured in Oprah Daily, really hit the nail on the head when discussing the accessibility of women’s healthcare and healthcare products.

The Role of Knowledge and Awareness


Contributing to this issue is a significant lack of awareness among doctors about the benefits of hormone therapy. This gap in knowledge often leads to a reluctance in prescribing these treatments, leaving many without access to this essential support during menopause. This discrepancy underscores the need for improved education and awareness among healthcare providers about the importance and benefits of hormone therapy.


Finding Affordable Hormone Treatments


However, there are several avenues for obtaining affordable hormone treatments. One such option is working with menopause specialists who have a detailed understanding of the hormonal changes individuals undergo during this phase of life and can provide tailored treatment plans.


Another promising option is online telemedicine start-ups. These platforms offer virtual consultations and treatments at a fraction of the cost, making them a viable alternative for those struggling with the high costs of traditional healthcare.


Furthermore, cost-saving initiatives like Cost Plus Drug offer a beacon of hope. These initiatives aim to make medication more affordable, ensuring that more people can access the hormone treatments they need.


Towards More Transparent and Equitable Healthcare


The challenges faced by those going through menopause highlight the pressing need for more transparency and equity in healthcare. As we move forward, it’s crucial to ensure that everyone has access to affordable treatments and that doctors are well-informed about the benefits of hormone therapy.


In conclusion, while the path to equitable healthcare might be fraught with challenges, the possibilities offered by specialists, telemedicine start-ups, and cost-saving initiatives provide hope. What’s clear is that a shift in perspective is needed – one that acknowledges the importance of healthcare during menopause and strives towards making it accessible and affordable for all.


Special shout out to our friends who were also featured in this article, Dr. Rachel Rubin, Dr. Ashley Winter, and Dr. Kelly Casperson.



We are excited to announce our physical therapist, Molly, is now located in our 11th location in Columbus, OH. Now scheduling new patients- call (510) 922-9836 to book! 

Are you unable to come see us in person in the Bay Area, Southern California or New England?  We offer virtual physical therapy appointments too!

Virtual sessions are available with PHRC pelvic floor physical therapists via our video platform, Zoom, or via phone. For more information and to schedule, please visit our digital healthcare page.

Melissa Patrick is a certified yoga instructor and meditation teacher and is also available virtually to help, for more information please visit our therapeutic yoga page

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