Frequently Asked Questions

What do you help with?

Hormonal health is highly individual. At Dreava Health, I support patients through PMDD, perimenopause, menopause, and the broader midlife hormonal transition.

I also address concerns commonly linked to hormonal changes, including fatigue, weight and metabolic shifts, sexual health, bone health, and long-term disease prevention. When appropriate, I offer personalized, evidence-based hormone therapy as part of a comprehensive care plan.

What should I expect on my first visit?

Your initial visit is a 60-minute telehealth or in-person appointment designed to give you time, space, and clarity.

Before we meet, you’ll complete an intake form so we can review your history and symptoms in advance. During the visit, we’ll discuss what you’re experiencing, connect the dots, and decide together whether labs, testing, or treatment—including hormone therapy—are appropriate.

When indicated, I prescribe FDA-approved hormone therapy, which can be sent to your local pharmacy and is often covered by insurance or available at an affordable cost. I can also collaborate with your primary care provider or gynecologist when helpful.

How much does a visit cost?

New patient telehealth or in-person visit (60 minutes): $350
Follow-up telehealth or in-person visit (30 minutes): $175

Why doesn’t Dreava Health bill insurance?

Most healthcare today is driven by insurance rules that limit time, restrict options, and prioritize volume over thoughtful care.

A cash-based model allows me to spend real time with patients, focus on root causes, and make clinical decisions based on what you need—not what insurance dictates. Midlife and menopause care are complex and whole-body by nature, affecting hormones, heart health, metabolism, bone health, sleep, and mood. Addressing this well takes time and individualized attention.

While insurance isn’t billed, many patients use HSA/FSA funds, and a superbill can be provided for possible out-of-network reimbursement.

The goal is simple: personalized, evidence-based care that supports your health now and long term.

Do you accept Medicare?

Dreava Health is a private, cash-pay practice. Due to federal Medicare regulations, I am not able to see or treat patients who are enrolled in Medicare—even if they wish to pay out of pocket.

I understand this can be frustrating. If you’re enrolled in Medicare and would like help finding a participating provider, feel free to reach out by email. I will be happy to help point you toward appropriate resources.

What states do you serve?

I currently provide care to patients located in Virginia.

What is your cancellation policy?

Appointments canceled at least 2 days in advance are eligible for a 50% refund. The remaining balance will be held as a credit for a future visit for the same individual, valid for up to one year.

Appointments canceled within 2 days of the scheduled time are not eligible for a refund. There is no fee to reschedule if done more than 2 days in advance.